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Condo Quote Request
2022-09-29T04:55:11-07:00
Condominium & HOA Insurance
Quote Request
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1
Contact
2
General
3
Facility
4
Finance
Contact Details
Please provide us the names, emails and phone numbers we'll need to reach out to your Board and/or Property Management Firm.
Name
*
Facility or HOA Name
HOA / Facility Website
Primary Contact
First
Last
Primary Contact's Email
*
Primary Contact is
*
Board Member or Representative
Association Manager
Mailing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Are the Location Address and Mailing Address the Same?
*
Yes
No
Location Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Do You Have Current Insurance?
*
Yes
No
Expiration Date of Current Policy?
*
MM slash DD slash YYYY
Who Manages The Association?
*
Independent Property Management Firm
Board of Directors
Does the Developer, Builder or their Representatives sit on the Board?
*
Yes
No
Year Association Established
*
Total Number Of Units
*
Do You Intend To Cover Homeowner Units?
*
Yes
No - Common Area & Buildings Only
Please Check All That Apply
*
HOA Maintains Roads
Dock Slips
Water Treatment Facility
Swimming Pool
Lakes, Ponds, Retention Basins
Restaurant
Golf Course
Select All
What Common Area Property / Buildings will you need coverage for?
Financial Information
Does the Association have an Operating and Reserve Account in its Name?
*
Yes
No
Who Has Access To Association Funds?
*
How Often Does The Board Review Financials?
*
Monthly
Quarterly
Annually
All of the above
How Often Are Bank Statements Reconciled?
*
Monthly
Quarterly
Annually
All of the above
Please Upload:
Governing Docs, Budget, Loss Runs and your Current Policy or email them to
[email protected]
Drop files here or
Select files
Accepted file types: jpg, pdf, doc, Max. file size: 12 MB, Max. files: 5.
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