Apartment Building and Tenant Occupied Dwellings


    Vesting - Name as it appears on title, this will be the Named insured on the policy (required)

    Email Address (required)

    Mailing Address:

    Phone(required)

    Fax

    Member of California Apartment Association?

    which Branch?

    Location Data

    Location Address:

    Building Construction

    Year Built

    Total Number of Buildings?

    Units per Building?

    Square Footage per Building:

    Roof Type

    Number of Floors

    Is Building Sprinklered?

    If so, indicate %

    Smoke/Heat Detectors?

    If yes, Battery or Hard Wired

    What is the frequency of smoke detector inspection?

    Are records of inspections retained?

    Protective Devices?

    Any fireplaces?

    What kind of fireplaces?

    When were fireplaces last inspected, cleaned, checked, etc?

    Are Fire Extinguishers present?

    If so, in each unit?

    installed on building exterior?

    Is there a pool?

    If yes, is it completely fenced with a self-latching gate ?

    Is there a Diving Board?

    Need depth of pool?

    Is there a spa?

    Are there Garages?

    If yes,attached or detached?

    Square Footage:

    Are there Carports?

    If yes,attached or detached?

    Square Footage:

    Do any tenants have pets?

    If so, what type/breed?

    How long have you owned the property?

    Do you have a professional management company?

    Are entrances to buildings protected by security phones, buzzers, or residents only keys?

    Are there open cooking surfaces in this location?

    Do you prohibit charcoal grills on porches and balconies?

    Are there any fitness facilities in this location?

    Are there any wood burning stoves on the premises?

    If yes, please send us a photo

    Do you provide any assisted housing (Section 8)?

    If so, number of units

    Are bars installed over any windows?

    If so, are quick release safety latches in place?

    Do you sponsor or organize any activities on behalf of your resindents?

    Describe?

    NOTE: IF BUILDING IS OVER 25 YEARS OLD, PLEASE COMPLETE THE FOLLOWING INFORMATION

    Are all the buildings/locations on circuit breakers?

    Is all wiring copper?

    Date/extend of any electrical upgrades?

    Is the plumbing copper? or galvanized

    Date/extend of any plumbing upgrades?

    Type of roof?

    Age of roof?

    If more then 10 years old, when last inspected?

    Type of heat source (gas furnace, wall heater...)?

    Age of heating source?

    COVERAGE REQUESTED

    Building limit:
    $

    Personal Property (rental office, furnished units, etc ):
    $

    Amount of annual rents:
    $

    Deductible requested ($500, $1000, $1500, or other amount):
    $

    Number of employees (Managers, Assistants, handymen, etc) at this location?:

    Is employee dishonesty coverage needed?

    If so, what limit: $

    Is Hired/Non-owned Auto Liability coverage needed?

    Current carrier?

    Expiration Date:

    CLAIMS

    Describe any claims the past three years - email current loss history if available