Add or Delete Locations / Property

Add/Delete Location To GHARRP Coverage
Member Housing Authority *
Contact Name *

First Name Last Name
Phone 1 *

Area Code Phone Number
E-mail *
Property Information
Add/Delete

Add to Coverage Delete from Coverage
Date Management to Commence / Effective Date

Month Day Year
Property Name
Developer
Authority's Relation to the Property *

Owner Board Member Developer Other
Number of Units
Number of Buildings
City
Postal Code
Address Line
Unit #
Address Line 2 (or Street Parameters)
Unit #
Address Line 3 (or Street Parameters)
Unit #
Address Line 4 (or Street Parameters)
Unit #
Address Line 5 (or Street Parameters)
Unit #
Total Commercial Units (if applicable)
Total square feet (if applicable)
Cost Per Square Foot
Proposed Insured Value $
Proposed Contents Value $
Required Business Interruption / Loss of Rents Value $
Year Built
Property Type

Duplex Fourplex 5-12 Units 12+ Units Single Family
Property Style

Duplex Townhouse Carriage Style Low-rise High-rise Mixed Use (Commercial & Residential) Office Building
Is there an on-site caretaker or any direct employees?

Yes No
Parking

Above ground Underground Attached Garage
Pool

Underground Splash Pad Diving Board
Other - Please list
Sprinklered?

No Yes Partial Type option 4
Construction Type
Block, Brick/Masonry, Wood Frame, Steel, / Poured Concrete
Please provide any additional information or comments
If 5+ units, please attach Excel

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