Apartment Building Insurance 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 Your Contact Telephone Number* Your MAILING Address Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Email Apartment Building PropertyPlease Answer Questions Below as They Pertain to Your Apartment Building Rental PropertyApartment Building 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? Either on Homeowners or Rental Property Insurance PolicyYesNoDate, Description, Amount of Loss ($)Year Built How Many Square Feet (Excluding Basement) Finished Basement? Yes No How Many Stories is Building More than 90% Sprinklered? YES NO Who is Responsible for Snow Removal? Hired Company Owner Superintendent Other Other: Laundry Facilities are Shared or Private within 1 Unit Shared Laundry Each Unit Has Its Own Laundry Smoke/Fire Alarm in Each Unit? YES NO Tenants in Each Unit are mostly: Post Secondary Students Families Individuals Number of Self-Contained Units Self-Conunted Unit: 1 Dwelling unit with its own kitchen and bathroomIs there a Garage? Yes No Any Detached Structures Yes No Please Describe Detached StructurePlease include what is used for, square footage and construction quality.# of Mortgages012Rental Property – ConstructionType of RoofWood – Ashphalt ShingleWood – SteelSteel DeckConcreteOtherUpdate Year* Other ElectricalCopperAluminumOtherOther ElectricalBreakersFusesAmps60 AMP100 + AMPUpdate Year* Type of PlumbingCopperPVCOtherOther Update Year* Type of HeatForced Air GasElectricalOilOtherOther Update Year* Is There a Signed Rental Agreement With Tenants YES – 12 MONTH CONTRACT Yes – Less than 1 Year NONE Property Currently Vacant? YES NO No Smoking Policy in Force? YES NO Is there a Swimming Pool? YES NO Who is Looking after the Property Property Owner Professional Management Company Friend and/or Relative Other Other Please Describe Building Coverage Limit ($) Annual Rental Revenue from Property ($) Liability Insurance $ 2 Million Appliances Coverage $ 5,000 $ 10,000 $ 15,000 Sewer Backup Limit $10,000 $15,000 $25,000 $50,000 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.
