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Name of the Insured Company
Company Number
Name to indicate on the invoice
Contact
Phone
Email
Website address (street and city/parcel and plot)
A brief description of the Project
Site Status (Multiple Choice)
Empty lot
Existing structure
Existing structure for demolition
An existing building for historical preservation
Work has begun
Value of contract works (in NIS)
Groundbreaking date
Agent/Consultant details
Are the following conditions met? (multiple choice)
Excavation to a depth of three meters and more
Groundwater lowering is carried out
There is demolition works
A building for historical preservation
Neighboring buildings are less than six meters from the boundaries of the Lot
Construction additions over an existing structure
Construction additions under an existing structure
Irrelevant
Please upload relevant documents – Blueprints, Ground Consultant's Report, Building Permit, Zero Report/budget distribution, Gantt chart/milestones, Consultants' specifications, Approvals, and miscellaneous
Remarks
Level of urgency
At your earliest convenience
After coffee urgent
Immediately
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