Location Addition Request

Who is your agent/account manager with iPROTECT?

Individual or Business Name that Property will be deeded to: (needs to read exactly as will be shown on deed)*

Your current policy number, if available, you'd like this location added to?

Date coverage needs to be effective?*

Date

We cannot guarantee the carrier will backdate coverage, in the event they will not the location will be added effective the date your request is received in our office.

Your Name*

First NameLast Name

Your email*

example@example.com

Your phone number*

Please enter a valid phone number.

Location to add*

Street Address

Street Address Line 2

CityState

Zip Code

County Property is Located*

Name of the county where the location being added is located in

Occupancy Status*

A property cannot be vacant for more than 60 days. If you expect the property at any time to become vacant for more than 60 days please contact us immedately as we may have to cancel the poicy and rewrite it to a vacant building policy.

Building Type*

Any renovations expected?*

If renovations are expected the rents are not covered and the property cannot be occupied during the policy term while under a renovation/rehab policy. Rehab policies contain a provision within the policy regarding this. In the event of a claim, you would need to provide written documentation showing that the property was visited and visually inspected at least every 30 days.

For all locations reported as undergoing renovation, it is a requirement of this policy that renovations commence within 60 days of the acquisition date or the date the property becomes vacant, whichever is later. If the property is vacant and under renovation, coverage for Vandalism and Malicious Mischief and Theft will be extended for an additional 60 days provided the insured demonstrates active renovation activities with receipts, work orders or other supporting documentation. A police report documenting the incident is required.

You would need to contact us to have this policy rewritten to a tenant occupied policy prior to a tenant moving in.

Property Construction Type*

Brick Veneer - Wooden or Steel Frame Construction concealed with a single layer of bricks as the exterior layer. Brick veneer walls are not structural, acting as a cladding layer.Joisted Masonry - buildings with exterior walls made of masonry materials like brick, concrete, or stone, but with combustible floors and roofs, often made of wood. Joisted Masonry walls are a structural part of the building.Wood Frame - building construction where the primary structural elements are made of wood, such as studs, joists, rafters, etc.

Square Footage*

Monthly Rent

# of Units*

Est. Original Year Built*

YYYY

Year of most recent Plumbing Renovation*

YYYY

Age of Roof (In years - roofs over 15 years old will be adjusted at actual cash value)*

Is the electrical on circuit breakers?*

Does the property have a swimming pool? *

Any damage to the property?*

Section 8 or Subsidized Housing?*

YesNo

Have you had a loss on this property in the last 3 years?*

Do you have a mortgagee/lender that needs to be included?*

Include your mortgagee/Lender's full mortgagee clause with loan # if available:

Will you have a Fannie Mae/Freddie Mac loan?

Will the insurance premium payment be escrowed?

Include Sewer & Water Backup Coverage?*

YesNo

Include Ordinance or Law Coverage?*

YesNo

Additional comments/requests for this property:

**If there is a minimum required limit of insurance include that limit here, otherwise we will insure at $120/sq ft**

File Upload

You may upload any documents relevant to this location you wish for us to add here.