Commercial Property Application Submission of this information does not represent a binding of any insurance contract or agreement. Additional information may be required in order to get an accurate quote of insurance Your Name First Last Legal Name of Building OwnerFill this section out if your Commercial property is held in another name or a corporation name.Your Contact Telephone Number*Your MAILING Address Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Email Commercial Property AddressPlease Answer Questions Below as They Pertain to Your Commercial PropertyCommercial Property Address Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Have you Ever Had Any Claims/Losses in the Last 6 Years?YesNoDate, Description, Amount of Loss ($)Year BuiltHow Many Square Feet (Excluding Basement)Finished Basement? Yes No How Many StoriesSmoke/Fire Alarm On Each Floor? YES NO Number of BathroomsNumber of KitchensGarage No Yes – 1 Car – Detached Yes – 1 Car – Attached Yes – 2 Car – Detached Yes – 2 Car – Attached Any Detached Structures (other than garage) Yes No Please Describe Detached StructurePlease include what is used for, square footage and construction quality.# of Mortgages012Commercial Property – ConstructionType of RoofWood – Ashphalt ShingleWood – SteelSteel DeckConcreteOtherUpdate Year*OtherElectricalCopperAluminumOtherOtherElectricalBreakersFusesAmps60 AMP100 + AMPUpdate Year*Type of PlumbingCopperPVCOtherOtherUpdate Year*Type of HeatForced Air GasElectricalOilOtherOtherUpdate Year*Is There a Signed Rental Agreement With Tenants YES – 12 MONTH CONTRACT NONE Property Currently Vacant? YES NO Is there a Swimming Pool? YES NO Who is Looking after the Property Property Owner Professional Management Company Friend and/or Relative Other Other Please DescribeBuilding Coverage Limit ($)If Rented, What is Annual Gross Revenue From Property: ($)$ Amount of Equipment on Premises:Liability Insurance $ 2 Million $ 5 Million More Additional CommentsFile UploadMax. file size: 40 MB.Although not necessary at this time, please attach anything that may help us in reviewing your property such as real estate listings, photosConsent* I agree to the Privacy Policy and acknowledge the Disclosure Statement.
