Rental Property Quote

Personal Information

Name
Street Address
City
State
Zip Code
Phone Number
Alternate Telephone
Fax Number
Email Address
Property Information
Property Street Address
City
State
Zip Code
How many units are in the building?
How many units in the building are vacant?
Year Built
What date was the property purchased?
What is the construction type?
How many stories is it?
If two stories, what is the ground floor square footage?
What is the total square footage of the building?
What foundation type?
If structure is located in a flood zone, what is the distance to body of water?
Garage Description
What type of roof covering?
Was the roof updated?
If yes, what year?
Does the building have a pool?
If yes, is it fenced?
If there is a pool, is there a diving board?
If there is a pool, is there a slide?
Is there a smoke alarm?
Is there a fire extinguisher?
Are there deadbolts?
Is the electrical updated?
Are there circuit breakers?
Does the electrical circuit box have copper wiring?
How old is the heating/ air conditioning?
Is the heating / air conditioning thermostatically controlled?
What is the energy source?
What is the heating system?
What is the cooling system?
Has the plumbing been updated?
Is the plumbing copper?
Does the building have interior automatic fire sprinklers?
Is there a theft alarm?
Is there a fire alarm?
Are there dogs on the property?
If yes, how many and what is the breed of each dog?
Are there any other pets or animals on the property?
If yes, how many and what is the description of each?
Current Coverage Information
Current Insurance Company
Expiration Date
Were there any losses or claims in the last 5 years?
If yes, what is the date, amount paid and description of each loss or claim?
Desired Coverage Information
Dwelling Amount - Coverage A
Other Structures - Coverage B
Loss of Use - Coverage D
Premise Liability - Coverage E
Policy Deductible
Do you want building replacement cost coverage?
Best Time To Contact You
Please let us know the best time to call and discuss your quote.
Or Specify Other:

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