Commercial Lines – Income Property – Lessors Riskadmin2018-07-23T19:42:34-07:00 Commercial - Income Property – Lessors Risk Effective Date For Your Policy* Date Format: MM slash DD slash YYYY Select Program(s) You're Interested In* Basic Comprehensive (Includes Earthquake and Flood) Property & Liability Property Only Liability Only Vesting/Registered Owner InformationAccount Name* What interest do you have in the property?* Owner Property Manager How many years of experience does the insured have?*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Contact Person* First Last Email* Enter Email Confirm Email Phone*FaxIs the Named Insured the same as above?*YesNoPlease provide the Named Insured for this policy.* Named Insured Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Contact Person* First Last Phone*What type of payment option are you looking for?*Direct BilPayment PlanWould you like a quote for Insurance Certificate Monitor Service (ICM)?*YesNoPlease provide the type of certificate to be monitored.* Tenant HOA Service Providers How many total certificates will need to be monitored?*Is this property habitational?*YesNoBothThere are different requirements for property that is occupied by other commercial businesses as opposed to having tenants live there. How many properties do you need to insure?* Non-Habitational InformationHow many units?*Non-Habitational Tenant Operations:*Please describe the operations of the current tenants, such as the type of commercial business(es).What percentage of your property is currently occupied?*Do you have a sample lease available?*YesNo (this will be required later)Please upload your sample lease.*Accepted file types: jpg, gif, doc, docx, pdf, txt, png.Do you have a current insurance certificate available?*YesNo (this will be required later)Please upload your certificate.*Accepted file types: jpg, gif, doc, docx, pdf, txt, png.Do you have a rent roll available?*YesNo (this will be required later)A rent roll is a list of properties and total amount of rental income that is received from each one.Please upload your rent roll.*Accepted file types: jpg, gif, doc, docx, pdf, txt, png. Habitational Property SupplementalAny periodic inspections of Stairs, Balconies, Walkways, etc.?*YesNoHow often?*What percentage of your building is occupied?*Please explain why occupancy is less than 90%.*Do you have any of the following?* None Market Rent Low Income (Affordable) Housing Section 8 Single Room Occupancy (SRO) Senior (unassisted) Living Assisted Living Convalescent Home/Nursing Home Student Housing Please provide the percentage of the building that has the above options.*Who operates the Assisted Living facility?*OwnerThird PartyIs management on site?*YesNoDo employees perform maintenance at site?*YesNoDo you allow tenants to have pets?*YesNoAre any of the following services provided? None Food Service Housekeeping Service Laundry Service Medical Service Transportation Service Social Activities Adult/Child Day Care Other Who provides the above services?EmployeesThird PartyWhat type of wiring?*CopperAluminumAre all switches and receptacles fixed using the CopAlum Crimp method?*YesNoIs the property within 2500 feet of a "brush area"?*YesNoHow many buildings are there?*How many stories?*What is the building square footage?*Please check all of the following that the building has: None Interior stairways enclosed and equipped with self-closing fire doors on each floor Pull type "Life Safety" alarm Alarm on each floor Live safety sprinkler system covering stairs and hallways Trash shoots Elevators How many elevators?*Which of the following has smoke detectors? None Sleeping areas Hallways leading to sleeping areas Kitchens Common Corridors Common interior stairwells Trash shoots Are smoke detectors monitored on a 24-hour basis?*NoYes, by EmployeesYes, by Third PartyIs there emergency lighting in interior corridors longer than 75 feet?*YesNoAre there lighted EXIT signs in interior corridors?*YesNoHow are the multiple buildings separated?*Are there fireplaces in the units?* No Electric Gas Wood Burning Automatic Earthquake Gas Shutoff Valve installed?*YesNoAny swimming pools?*YesNoAny spa(s)/Jacuzzi?*YesNoPlease check all of the following that apply:* None Pool/Spa is fenced Fence complies with local ordinances Self-Closing/Self-Latching Gate Diving Boards Pool/Spa rules clearly posted in the pool area Lifesaving equipment (i.e. life ring, shephards hook) in pool/spa area Safety Drain/Intake Covers How tall is the fence?*Please check all the following that apply: None Playground(s) Tennis/Basketball Courts Golf Courses Other Recreational Facilities Entire property fenced What type of surface are your playgrounds?*What equipment do you have on the playgrounds?*How many Tennis/Basketball courts do you have?*Are the golf courses for the exclusive use of the members?*YesNoCAPTCHACommentsThis field is for validation purposes and should be left unchanged.