Apartment Buildings Quote

Please complete the following fields and we will contact you with the best quote or download form.

 

 
Location: I II III
 
Building: I II III IV
Location:  
Mailing Address:
 
Phone:
Manager on Premises: YES NO  
7/24
 YES NO Other
Structure:    Year Built:
Stories:
Sq Ftg:
Contstruction:
Roof Type:
Foundation:
Underground Parking:
   
     
Number of residential units:
Number of commercial units:
Parking: Garage Spaces:
Open Spaces:
 
     
Building Sprinklered:
Distance to fire hydrant:
Distance to fire station:
Smoke Detectors:
Alarm: ;
 
If central, monitoring company?
     
Pool, Jacuzzi, Sauna:
Rec Facilities:
Access restricted to premise:
Access restricted to pool/Jacuzzi:
     
Electrical:  
Last electrical update and/or service date:
Heating:   Type:  
     
Roof:  
Date:
Plumbing:  
Date:
Air Conditioning:   
Date:
     
Units Professionally Maintained:
Prop Mgr.
Pride of Ownership:
 
     
Loss of Rents: Monthly rents $ Annual rents $
     
Loss History for the last 3 years:    
Description
Date
Amount Paid $
     
     
Prior Insurance for the last 3 years:    
Carrier
 Policy #
Expiration Date
     
     
     
     
     

  


Description Date Amount Paid
___________________________________________________________________________

Prior Insurance for the last 3 years:
Carrier Policy # Expiration Date
________________________________________________________________________

Lien Holder/Mortgagee: Yes/No

*Is earthquake insurance required/requested: Yes/No
*Is flood insurance required/requested: Yes/No
*Contents insurance required/requested: Yes/No
Amount on Contents:$___________
Contents Location
Location #_______________
Building#_______________

Survey completed by:

_________________________________ ________________
Print Name Date

Referred by:_________________________________________________
 

 
 

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