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Apartment / Condo
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Occupancy
Enterprise Type (check all that apply)
*
Apartment
Condominium
Town House (Condo)
Office Condo
Open
Gated
Seasonal
Secondary Residence
Timeshare
Rental
Cooperative
Planned Unit Development
Age Restricted
Other:
If Other, Please list
*
What is the Name of the Enterprise
*
Does the insured use a professional management company
*
Yes
No
N / A
Name of management company
*
Address and Phone of management company
*
Are the grounds and building maintenance contractors required to provide insurance certificates
*
Yes
No
N / A
Are the insurance certificates required to match the limits of the insureds policy
*
Yes
No
N / A
Are the insurance certificates kept on file
*
Yes
No
N / A
Is there a formal Snow Removal contract
*
Yes
No
N / A
Percent of Units that are Owner Occupied
*
What is the Occupancy Percentage Rate
*
How many apartment buildings are at this location
*
How many Condo/Townhouse buildings are at this location
*
The number of apartment/condo buildings that have more than 25 Units
*
How many apartment/condo units in total
*
How many units per building (ID of bldg. x units, ID of bldg. x units, etc.)
*
Are there any separate garage buildings at this location
*
Yes
No
How many separate garage buildings are at this location
*
What is the total square footage of the separate garage buildings
*
What is the construction type for the separate garage buildings (check all that apply)
*
ISO 1 - Wood Frame
ISO 2 - Joisted Masonry
ISO 3 - Non-Combustible
ISO 4 - Masonry Non-Combustible
ISO 5 - Modified Fire Resistive
ISO 6 - Fire Resistive
Customer Name: Do not ask about Special Tenants (like Subsidized housing, Students, Section 8, etc.)
*
Admiral
Seneca
Jencap
Preferred Mutual
Other
Is there any Subsidized, Military, Senior, or College Housing
*
Yes
No
N / A
Percent Section 8 Housing
*
Percent HUD Subsidized or Low Income Housing
*
Percent Military Housing
*
Percent Senior Housing
*
Percent College Student Housing
*
Is this a 55+ community
*
Yes
No
N / A
Does the insured have by-laws
*
Yes
No
N / A
Monthly Rent for 1 Bedroom Apartment $
*
Monthly Rent for 2 Bedroom Apartment $
*
Comments
*
Electrical, Plumbing, Heating, and Protection
Number of buildings that are fully Sprinklered
*
Number of units that are fully Sprinklered
*
Do any of the buildings have ALUMINUM or "KNOB and TUBE" wiring (describe in COMMENTS)
*
Yes
No
N / A
Is there any polybutylene piping
*
Yes
No
N / A
Is there a smoke detection device in each unit
*
Yes
No
N / A
Are carbon monoxide detectors installed
*
Yes
No
N / A
Are all electrical outlets within 5 feet of a water faucet GFCI outlets
*
Yes
No
Are the heating units under an annual maintenance program
*
Yes
No
N / A
Who performs the maintenance
*
Do any of the buildings have fuses
*
Yes
No
N / A
For each building more than 25 years old, identify the building and discuss what renovation work has been done for Heating, Wiring, Plumbing, Roofing, and Interiors Walls
*
Comments
*
Features
Are there any fire-pits, barbecues, grills, or are other open flame devices allowed
*
Yes
No
N / A
If yes what types
*
Electric
Gas
Charcoal
Smoker
Are gas grills permitted on upper floor decks or balconies
*
Yes
No
N / A
Distance grills are kept from buildings
*
Are there requirements in place for use of gas grills on the first floor
*
Yes
No
N / A
Explain requirements
*
Are there any fireplaces
*
Yes
No
N / A
Is there a formal fireplace and chimney cleaning and maintenance program
*
Laundry facilities (please observe the lint accumulation and comment)
*
Common facilities available
Individual unit facilities available
N / A
How often is the laundry equipment checked
*
By whom is the laundry equipment checked
*
Comments
*
Policies
Do the written leases require tenants to carry liability insurance
*
Yes
No
N / A
Are Pets Allowed
*
Yes
No
N / A
If allowed, is there a written pet agreement
*
Yes
No
N / A
Is smoking allowed
*
Yes
No
N / A
Comments
*
Liability
On-Premises Facilities / Services (check all that apply)
*
Food Service
Health Care
Housekeeping
Doorman
Superintendent
Security Service
None
Other
Other Facilities / Services
*
Please describe the details of these Facilities / Services
*
Security Type (check all that apply)
*
Armed Guards
Off-Duty Police
Canine
Card or Keypad Access
Unarmed Guards
Video Surveillance
None
Other:
If Other Security, please list and describe
*
Are Locks changed when prior tenant moves out
*
Yes
No
N / A
Are any units in arrears or foreclosure
*
Yes
No
N / A
If Yes, how many units
*
Is Transportation of Residents Provided for any reason
*
Yes
No
N / A
If transportation is provided, please describe
*
Does the insured sponsor trips / events (Atlantic City, Broadway shows, etc.)
*
Yes
No
N / A
Elevators of any type
*
None
Chairlift
Dumbwaiters
Freight
Passenger
Other:
If Other, please list
*
Is there any type of Exercise Area (Gym, Exercise Room, Fitness Center, etc.)
*
Yes
No
N / A
What are the hours
*
Is there an attendant
*
Yes
No
N / A
Is it limited to residents
*
Yes
No
N / A
Are there Changing Facilities
*
Yes
No
N / A
Is there a Sauna or Steam Room
*
Yes
No
N / A
Safeguards in place
*
Central Station Phone
Rules
CPR trained staff
Video System
Panic Button
Other:
If Other, please list and describe
*
Is there a swimming pool, whirlpool, or spa
*
Yes
No
N / A
Type of Pool
*
In-Ground
Above-Ground
Spa/Whirlpool
Inside
Outside
Inside/Outside
What are the pool hours
*
The pool/spa maintenance is performed by
*
Employee of Insured
Contractor
Other:
If Other, please specify
*
Are there Life Guards present during normal hours
*
Yes
No
N / A
If yes are depths marked
*
Yes
No
N / A
Is there a slide or diving board
*
Yes
No
N / A
Does the pool have a fence (at least 4 feet tall) with a childproof latch
*
Yes
No
N / A
Have all the pools/spas been retro-fitted with VBG Act compliant drain covers (photos required) (if NO, make a recommendation)
*
Yes
No
N / A
Is there a tennis court
*
Yes
No
N / A
Is there a playground
*
Yes
No
N / A
Please describe playground (include photos)
*
Is there adequate protective cushioning material (at least 12")
*
Yes
No
N / A
Is there a clubhouse
*
Yes
No
N / A
If so, is the clubhouse restricted for residents use only
*
Yes
No
N / A
Is there any Lake, Pond, River, Beach, or other water exposure
*
Yes
No
N / A
If Yes, Please Describe
*
Comments
*
Narrative
Please describe any other relevant features or issues.
*
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