TENANTS INSURANCE APPLICATION 05. 2023

FOR UNITS OCCUPIED BY DASH PROPERTY MANAGEMENT INC. TENANTS ONLY
TENANTS INSURANCE APPLICATION
Dear Tenant:
This document becomes the policy declaration page once completed – Please retain a copy for your records.
Name Insured
Insured Location
Effective Date

RenewalAmendmentPolicy Type: New
Effective Date

MonthDayYear
Date
Expiry Date

MonthDayYear
Date
Note: Each tenant is required to be listed on the application and to initial all boxes, then sign and date the form and

return to your Dash Property Management Inc. representative by e-mail to Insurance@dashpm.ca
Coverage Summary
Broad Form includes Fire, Theft, Sewer Backup, Water and Malicious Damages. No Co-Insurance subject to Exclusions outlined in the policy wordings. $1,000 Deductible.
Coverage
Limit
Acknowledgment

(Initials)
Contents Owned by Tenant at Insured Location
$25,000*
Included in contents limit*
$2,500*
$10,000*
$1,000,000*
Policy Subject to
1. Coverages are only as outlined above and no additional coverages are provided.

2. Coverage is not transferrable to other Named Insureds or units.

3. Coverage is only available to tenants occupying residential condominium units under management by Dash

Property Management Inc. Upon termination of management contract all coverage under this policy for this

unit and the tenant(s) will cease.

4. The descriptions of coverages above are general in nature only. For full coverage details, please refer to the

5. Coverage will renew until cancelled by Dash Property Management Inc. subject to annual notification to the

Insurer by Dash Property Management Inc.
I have read and acknowledged all terms of the above coverages provided above.*
Signature

Clear
Signature

Clear
Date

MonthDayYear
Date
Date

MonthDayYear
Date
Signature

Clear
Signature

Clear
Date

MonthDayYear
Date
Date

MonthDayYear
Date
For administrative inquires including payment, renewals, cancellations, please

contact your Dash Property Management

For coverage inquiries only contact Cyndi Frankland or Krista Fauquier at Atrens-Counsel Insurance Brokers at 905-567-6222
7111 Syntex Drive, Suite 200 Mississauga, Ontario L5N 8C3

T: 905.567.6222 | 1.800.627.6222

E: info@atrens-counsel.com W: atrens-counsel.com
Should be Empty:

TENANTS INSURANCE APPLICATION

Dear Tenant:

Coverage Summary

Coverage

Limit

Acknowledgment

Policy Subject to