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Directors & Officers Insurance


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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
Required
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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