Request a FREE Commercial Property (Apartments & Condo Associations) Insurance Quote
Please complete this form so that we are better able to answer your questions. Required fields are indicated with an asterisk ( * ).
Personal Information
*Your Name:
Business Name:
*Street Address:
Street Address (2):
*City:
*State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
*Zip:
*Email:
*Verify Email:
*Phone:
(ie: 5555555555)
Fax:
(ie: 5555555555)
Dwelling Information
Year Building Built:
Building Square footage:
Occupancy:
Owner
Tenant
Type of Building:
Apartment
Condominium
Occupancy Type:
(describe entities & and number of units, such as "4 unit apartment", "12 Unit Condminium, or "2 Offices and Barber Shop", etc.)
Type foundation:
Slab
Crawlspace over slab
Pier & Post
Other (list in remarks)
Type finished basement, if any:
None
Full
25%
50%
75%
Type Roof:
Shingle
Wood Shake
Tar/Gravel
Spanish Tile
Metal
Other
Type of Siding:
Brick
Vinyl
Wood
Aluminum
Number of stories:
One
Two
Three
4 or more
# of feet to nearest
fire hydrant:
# of miles to nearest
fire station:
Currently Insured?
Yes
No
Name of Carrier & how long insured?
Prior Claims?
Yes
No
Describe claims in detail:
Plumbing type:
Copper
Galvanized
Mixed (Copper/Galvanized)
Coverages
Dwelling Cov. $
Contents $
Liability Cov. $
Deductible $
Comments or Remarks:
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