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Textiles Estimate Request
Company name
*
Address
*
Contact Name
*
Phone
*
TEXTILE CLAIM INFO
Insured 's Name(s)
*
Multi-line address
Country/Region
Address
City
Zip / Postal code
Email
Phone
Is this a program/ TPA job?
*
Yes
No
Insurance Carrier
Claim Number
Multi choice
*
Fire
Water
Flood
Tornado
Hurricane
Mold
Wildfire
Vandalism
Other
Date of Loss
Month
Day
Year
EQUIPMENT
Equipment Needed
Air Scrubber
Air Scrubber Qty
Other
PACKOUT of Textiles (if done already)
Number of Techs
Days on Site
TEXTILES CLEANING
Multi choice
In-house - wash and fold laundry
Drop off - at wash and fold laundry
Suits, formals, specialty fabrics to vendor
STORAGE
Number of months
Single choice
On-site containers
Qty.
Size
Single choice
Off-site climate-controlled
SF of storage space
V
Vaults
Qty.
TOTAL LOSS Photos performed by your company
DUMPSTERS
Qty.
TOTAL LOSS LISTING performed by your company
DELIVERY TRUCK AND TECHS
Number of Days
BOX COUNT
(if available)
SMALL
MEDIUM
LARGE
WARDROBE - 1 per 18" of hanging clothes
PACK BACK
Single choice
Drop & Run - hang clothes in closets, put boxes in rooms
Full Pack Back - hang clothes in closets, unpack folded clothes in closets and drawers
Make beds - put sheets and bedding on
Hang window coverings: curtains, drapes
Subcontractors or Specalists Involved?
Yes
No
Include supporting documentation: invoices from vendor/s quantities and /or bulk weight; your itemized inventory, using the Xactimate Textiles Tick sheet;
Submit links to: Matterport, DocuSketch, Company Cam, Contents Track, Encirlce, etc.
Charge Overhead and Profit?
Tax % to Charge
Upload Photos
Upload File
Desired price range for invoice, or not-to-exceed amount
NOTES: Please list any challenges of the project to be included in the opening statement
Submit
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