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Community Association Insurance
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If Renewing, please provide Expiration Date
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General Information
Property Name
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First Name
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Last Name
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Physical Location # and Street
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City
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State
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ZIP / Postal Code
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Primary Phone Number
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E-Mail Address
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Management Company
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Year Built
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Single Family Homes or Condos
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Property Information
# of Units
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# of Buildings
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# of Stories
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Approximate Square Footage
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Construction Type
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Club House Square Footage
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Fire Sprinklers in Building
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Smoke Detectors in Units
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Fire Extinguishers
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Playground Equipment
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Swimming Pools?
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Exercise Equipment
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Property Coverages
Building Limit
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Contents Limit
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Business Income Limit
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Property Deductible
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Bare walls or Complete Unit Interior Coverage
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Earthquake Coverage?
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Flood Insurance Coverage?
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Liability Coverages
General Liability Limit
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Directors & Officers Liability Limit
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Fidelity / Crime Limit
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Umbrella Liability Limit
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Automobile Liability Limit
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Any Owned Autos? (If yes, please provide Year, Make, Model, & VIN below)
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Year, Make, Model, & VIN
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Submission Validation
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

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