Apartment / Condo - Drag N' Drop FormBuilder

Apartment / Condo

Occupancy
INSPECTOR NOTE: FILL OUT THIS FORM, IF THE PROPERTY HAS 15 OR MORE RESIDENTIAL UNITS.
IF THERE ARE LESS THAN 15 UNITS, CONTACT THE H&S OFFICE AND HAVE THIS FORM REMOVED.

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 *
Note: If there are more than 3 buildings in the complex, please inspect 3 buildings and 2 units to represent the complex.

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.) *
GARAGES

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 *
EXERCISE

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 *
SWIMMING POOL

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
OTHER ACTIVITY AREAS

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. *