APPLICATION FOR TENANTS INSURANCE

APPLICATION FOR TENANTS INSURANCE

Occupied by DASH Property Management Inc. Tenants Only To Be Attached to Policy
Name Insured *
Location Insured *

Street Address

Suite Number

City State

Zip Code
Effective Date *

Month Day Year
Date
Expiry Date
Date
Expiry Date (please enter date 12 months on from effective date) *

Month Day Year
Date
DESCRIPTION OF COVERAGES

Broad Form; Fire, Theft, Sewer Backup, Water and Malicious Damages, No Co-Insurance subject to Exclusions outlined in the policy wordings.

All the tenants are required to initial all 6 boxes below & sign form
*

Contents of Every Description
$25,000
Owned by Tenant

$1,000 Deductible
*

Additional Living Expenses
$10,000
*

Jewellery Excluding Theft
Included in contents limit
*

Jewellery Theft
$2,500
*

Commercial General Liability
$1,000,000
Premises coverage only

$1,000 Property Damage Deductible
*

Note: Coverages are only as outlined above and no additional coverages are provided. These coverages are not transferrable and are only offered for tenants occupying residential condominium rentals management by Dash Property Management Inc. The descriptions of coverages above are general in nature only. For full coverage details please refer to the actual policy wording. I have read and acknowledged all terms of the above coverages provided above.
Signature *

Clear
Date *

Month Day Year
Date
TERMS AND CONDITIONS OF INSURANCE COVERAGE THROUGH DASH PROPERTY MANAGEMENT
Tenants/Payor's agree to pay $18 each month to Dash Property Management in relation to the selected coverage detailed on page 1 of this document. This fee will become payable on the same day as your rent payment associated with your lease. By signing this document the Tenant/Payor's agree to pay, upon move in, $36, which is equivalent to their first and last month's coverage of insurance and will be used as such. By signing this document the Tenant/Payor authorizes Dash to collect this $18 per month fee through a pre-authorized debit, once the relevant details have been provided to Dash upon move-in.

By signing this application, the signee understands and agrees that the policy will be renewed automatically without additional signature, agreement or policy wording.

The termination of this policy will be processed when the signee will provide one month’s written notice in line with their rent due date, or when the tenancy has officially ended, or otherwise agreed to be the provider of the coverage.

I/We hereby agree to abide by the terms and conditions as detailed on this document.
Name Of The Second Tenant
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Telephone *
Email *
1170 Bay St. Suite 110 Toronto, ON M5S 2B4 Tel: 416.222.6175 Fax: 416.946.1882
For inquiries please contact Leona Zobolotny or Krista Zobolotny at Atrens-Counsel Insurance Brokers. 905-567-6222 or 1-877-627-6222
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APPLICATION FOR TENANTS INSURANCE

TERMS AND CONDITIONS OF INSURANCE COVERAGE THROUGH DASH PROPERTY MANAGEMENT