Homeowners Association Insurance Quote Request Form

Homeowners Association Insurance Quote Request Form

Thank you for allowing the HOA Team at Network Insurance Services the opportunity to partner with you and your community association. We look forward to working with you and beginning our review of this community.
Please complete the below to the best of your ability. Don't worry if you don't have all of the information requested, our team will review and advise if there is anything additional that we need to complete our review.
Property Management Company*
Company Name
Property Manager*

First NameLast Name
E-Mail*
Email
Phone Number*
Property Management Contact NumberFormat: (000) 000-0000.
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Association Name*
Community Name
Association FEIN #
Federal Employment Identification Number
Physical Address of Community *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number of Board Members   #
Number of Units   #
Number of Units Rented   #
Number of Buildings   #
Year of Last Complete Roof Replacement? (Oldest Roof) 20XX
Any Rules/Regulations regarding open flame grills?   Please describe grilling restrictions
Snow Removal Depth Trigger Point   # of inches
Aluminum Wiring/Federal Pacific/Zinsco Breaker Panels Present?  Please describe
Any Short Term Rentals? (Shorter than 6 months) Please describe
Please summarize any claims in the past 5 years.
We will let you know when we are ready for you to request currently valued loss runs from current agent.
Current Policy Details
Policy Renewal Date
Proposal Need By Date
Current Certificate of Insurance*

Please upload the current COI
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Declaration of Covenants*

Please upload the Declaration of Covenants
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Financial Statement*

Please upload the most recent Financial Statement and/or Budget
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Address List

Please upload a list of addresses in the community (if available)
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Reserve Study (if available)

Please upload the most recent Reserve Study, if one is available.
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Misc Documents

Please upload any miscellaneous documents that you think would be helpful for our review; plat map, bylaws, rules & regulations, grilling resolution, etc.
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Anything Else to Add?
Details on capital improvement projects, open claims/lawsuits, pending covenant amendments, construction defect claims, risk improvements like Firewise, claim/deductible resolutions or procedures, etc.
Our team understands how busy our property manager partners are, we truly appreciate you taking the time to complete this form. Upon submitting this form, our team will begin our review right away. Thank you for the opportunity to partner with you and this community!
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Homeowners Association Insurance Quote Request Form

Current Policy Details

Our team understands how busy our property manager partners are, we truly appreciate you taking the time to complete this form. Upon submitting this form, our team will begin our review right away. Thank you for the opportunity to partner with you and this community!