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FREE, NO OBLIGATION APARTMENT BUILDING INSURANCE QUOTE


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GENERAL INFORMATION


1. First Name:   Last Name:
Name of Legal Entity, if other
2. Phone:
3. Email:
4. DBA: (Doing Business As)
5. Mailing Address:

City: 

State: 

  Zip Code:
6. Building Address:

City: 

State: 

  Zip Code:

7. Ownership type:
8. How many years in apartment ownership business? years
9. How many years at this location? years
10. Do you currently have insurance?
11. If yes, Number of years continuously insured: years
12. Name of Current Insurance Company:
12a. Policy No:
13. Losses-claims in the last 5 years:
14. If any Losses, provide date, amount paid and reserves, description, and steps taken to avoid future losses:
15. Has your insurance ever been canceled or non-renewed?
16. If yes for what reason?

BUILDING INFORMATION

17. How many units in the building?

units

18. Total size of building:

sq/feet

19. Year of construction:

20. Building construction type:

21. If over 30 years old, was the following updated? if so, when?
Wiring/Year:    Plumbing/Year:    Roof/Year:    Heating/Year:

22. Is there a Burglar Alarm? 

23. If Yes, Select the Type:

24. Is there a Fire Alarm? 

25. If Yes, Select the Type:

26. Does the building bave sprinklers?
27. How many fireplaces are there in the building?
28. How many laundry units are there in the building?
29. Garage Type:
30. Number of parking spaces:
31. List any additional features or special items applying to your building:

COVERAGE

32. Amount of  Building Coverage:

32a. Deductible:

33. Total Monthly Gross Rent:
34. Total Value of Any Personal Property You Own Located in this Building:
35. Amount of Liability Coverage Needed:
36. Need Umbrella Protection?

If yes, How much protection do you need?


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Licensed in State of California.

LICENSE #:  0787078

Phone: (800) 316-3002
Fax:    (818) 500-1855

Email: info@firsteagle.com