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Quote Request

Company/Entity Name*
Name*
First Name Last Name
Where is your business located?*
- United States
- Outside the United States
Please input your business address, not to be confused with the address of your investment property(ies).
Business Address International*
Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country
Office Phone*
Mobile Phone
Email*
Insurance Status*
- Currently insured - seeking alternatives
- New acquisition
- Policy canceled/not in force
- Current carrier non-renewing (enter reason in other below)
How soon do you need coverage?*
- ASAP---Help! I close within the next 24 hours!
- Within the next week, or so
- Within the next 30 days
- No rush---next 30 days or more...
When would you like your coverage to begin?*
Are you a full-time investor?*
- Yes
- No
- Working on it!
What is the total number of properties in your portfolio?*
Those you or your entity(ies) own, manage, or control
For how many properties do you need a proposal today?*
- 1
- 2
- 3
- 4+
Property #1
Property Address to be Insured
Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country
Property Type*
Will this location be used as a Vacation Rental?*
- Yes
- No
Is this location leased to students?*
- Yes
- No
Construction Type*
- Block
- Brick
- Frame
- Metal
- Modular/Mobile
Year Built*
Square Footage*
If unknown enter closest approximation
Number of Stories*
Is there a pool, spa, or hot tub at this location?*
- Yes
- No
UPDATES
Please provide approximate year of last update. If unknown the year built will be used.
Roof*
Electric*
Plumbing*
HVAC*
Are there any existing city/state housing code violations associated with this property?*
- Yes
- No
Are there any local/state rental law, code or statute violations associated with this property?*
- Yes
- No
Are locks changed or replaced upon a tenant leaving?*
- Yes
- No
Are there any existing damage or maintenance issues at this property?*
- Yes
- No
Does the location have a wood shake roof?*
- Yes
- No
Are there piers and stilts? (excluding crawlspaces)*
- Yes
- No
Is (either) Knob-and-Tube or Aluminum Wiring present?*
- Yes
- No
Does the property have Exterior Insulating Finishing Systems (EFIS) on supporting structures?*
- Yes
- No
Is this used for decorative purposes only and does it take up less than 10% of the structure?*
- Yes
- No
Occupancy Status*
- Rental dwelling - Occupied (including condos)
- Renovation - Currently undergoing rehab (or within 30 days after acquisition)
- Vacant - Not undergoing renovation
- Force Placed - Vacant
- Force Placed - Occupied
What is the total % of occupancy?*
Is the porch or roofline sagging?*
- Yes
- No
Are there any structural issues present?*
- Yes
- No
Foundation, roof, or load bearing walls for example.
Renters Insurance Requirement*
- Yes
- No
For occupied locations, I require, enforce, and document, that tenants carry renters insurance.
Other Considerations
Does the property have any common areas?*
- Yes
- No
Are functioning smoke detectors installed with replacement procedures in place?*
- Yes
- No
Does any commercial cooking occur on the premises?*
- Yes
- No
Does the attached parking available exceed 2,000 square feet or 24 spaces?*
- Yes
- No
Are any of the following the primary heat source: wood-burning stove, kerosene, or portable space heater?*
- Yes
- No
Does the property have an elevator, lift or hoist on premises?*
- Yes
- No
Is Premises kept in a well-maintained status?*
- Yes
- No
Would you like any of these additional coverages?
Earth Movement - Protection for Sinkhole and Earthquake Shock perils. Coverage is not available in: AK, CA, FL, HI, or IL*
- Yes
- No
Tenant Protector Plan - Investors alternative to renters insurance plus $1,000 Skip Rent coverage*
- Yes
- No
Equipment Breakdown Coverage - for direct physical damage to the property caused by the breakdown of mechanical systems (HVAC, A/C, Water Heater, etc)*
- Yes
- No
Equipment Breakdown Coverage - for direct physical damage to the property caused by the breakdown of mechanical systems (HVAC, A/C, Water Heater, etc)*
- Yes
- No
Rental Assistance*
What % of your tenants (if any) are subsidized?
Is this location professionally managed?*
- Yes
- No
Who monitors the property, how often?*
Is there a Mortgagee or Third Party Lender?*
- Yes
- No
Coverage Amount Requested (Please Enter "0" for Liability Only) $*
Loss of Rents Amount Requested*
Desired Deductible
- $2,500
- $5,000
- $10,000+
- Need Help Deciding
Are there any other structures on the property?*
- Yes
- No
Do you wish to insure this structure from property damage?*
- Yes
- No
Do you have more than one property to propose today?
If yes then, then upload them as a spreadsheet here.
File
Additional Information
Have you had any claims in the last 5 years?*
- Yes
- No
Please describe any losses or damage not reported to an Insurance Carrier within the past 5 years.*
Anything else you would like to tell us?
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