HOMEOWNERS ASSOCIATION OR CONDO ASSOCIATION QUOTE REQUEST

CONTACT DETAILS

Association Name *

Physical Address *

Property Manager Contact *

Association Phone *

Association Email Address *

Would you like to schedule property on this policy? *

Yes

No

BUILDING INFORMATION

Name of Building *

Address *

Item Description * - Select -Residential BuildingAdministration BuildingBall CourtBridgeCanoe RackCart BarnChemical Storage BuildingClub HouseConference CenterDeckingDocksEntry FixturesEntry GateFencesFitness CenterFlag PoleFountainGate HouseGazeboHalfway House / Snack BarIrrigation SystemLift StationLight PolesMail FacilityMaintenance BuildingOfficePicnic PavilionPlaygroup EquipmentPool House / Bath HousePro Shop BuildingPump HousePumpsRain ShelterRestroomRetaining WallSewer Treatment PlanSignsSpaStarter HouseStorage BuildingStreets or RoadsSwimming PoolsTennis CourtTrash BuildingTrash BuildingWater Tower

Construction Type * - Select -FrameMasonry Non-CombustibleJoisted Masonry

Year Built * - Select -195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019

Number of Stories *

Sq. Footage *

100% Sprinklered *

Yes

No

Is the fire sprinkler system monitored by the outside contractor? *

Yes

No

If wind/hail desired, is age of asphalt shingle roof within 15 years? *

Yes

No

N/A

Building Limit *

Personal Property Limit *

GENERAL LIABILITY

Number of Members/Homes *

Number of Pools *

Number of Boat/Dock Slips *

Number of Fitness Centers *

Number of Playgrounds *

COMMERCIAL CRIME

Employee Theft Coverage *

DIRECTORS & OFFICERS (D&O)

Number of Board Members *

Leave this field blank