Apartment Insurance

APARTMENT QUOTE
Your Name:
Address Where Building is Located:
City:
State:
Zip Code:
PROPERTY INFORMATION
How Many Units In The Building?
Year Built:
Construction Type:
How Many Stories:
Total Square Footage of The Building:
Roof Type:
Does The Dwelling Have A Pool?	yes no
If Pool, Is It Fenced?	yes no
Smoke Alarm:
Does the Building Have Interior Automatic Fire Sprinklers?
Fire Alarm:
Earthquake Retrofitted:	yes no
COVERAGE INFORMATION
Building Amount (Coverage A):
Other Structures (Coverage B):
Business Property (Coverage C):
Loss of Rents (Coverage D):
Premise Liability (Coverage E)
Policy Deductible
If Earthquake Insurance is Requested, Select Deductible Percentage %:
Building Replacement Cost Coverage:	yes no
HOW SHOULD WE CONTACT YOU? PLEASE SELECT
Phone Number:
Fax Number:
E-Mail Address: