What date do you require coverage?
|Preferred Method of Contact:|
If you are unsure of this, and you currently have the building insured, please use the current insured building value here. Otherwise please estimate the cost to rebuild the building.
|Building # of Stories:|
|Is the building sprinklered:|
|Is there a hydrant within 300 meters:|
|Is there a fire hall within 8 kms:|
|Owner or building manager live on site:|
|Are there any commercial tenants in the building:|
|Is building electrical “fully updated” on or after 1985?:|
“Fully updated” means all wiring, circuit breaker control systems, panels have been replaced.
|If Electrical not fully updated after 1985, please check all that apply:|
If both flat and sloped, please advise primary.
|Type(s) of Roof Covering (check all that apply):|
|Annual Roof Maintenance (Check all that apply):|
|Is the building plumbing “fully updated” on or after 1985?:|
“Fully updated” means all visible and nonvisible parts of the plumbing system have been replaced.
|Type of Heating System (check all that apply):|
“Full replacement” means all visible and nonvisible heating equipment and components have been replaced.
|Does your heating system receive annual inspection/maintenance:|
|Does the building have in unit water heaters?:|
Please advise the age of the oldest hot water tank in your building. Older hot water tanks are prone to bursting causing water damage.
|Do you have any type of water detection system?:|
|Who completes snow removal/salting:|
|If Insured completes snow removal, are logs kept specifying snow removal and sanding requirement/schedules?:|
|If third party contractor completes snow removal, check all that apply:|
|Is the building managed by a property management company?:|
|For buildings with common hallway(s), what resident safety plans are in place? (Check all that apply):|
|Building Facilities (check all that apply):|
|Any building code infractions or violations in the last 5 years?:|
We are looking for the name of the insurance company for this business, not the insurance brokerage. If not currently insured please advise "none"
|Have there been any insurance claims in the last 5 years:|
|Has insurance ever been denied or canceled:|
If you want a straight comparison to your current coverage, please upload a copy of your current policy
This is a good place to add relevant details on the owners previous experience or other important details about the business. If there have been claims please advise the estimated date(s) and estimate amount(s) paid for each.