Clone of Association Quote Form- Travis Sibley

Association Quote Form
* Complete the following webform to obtain quote for your Association. If you don't know the answer to a question, simply state "I don't know". If the question does not apply, please put a "N/A" in the field. Thank you!
Association Legal Name*
Association FEIN number *
Incorporation Date:*

MonthDayYear
Date
Association Physical Street Address*
City*
State*
Zip Code*
By what date is the Quote Needed?*

MonthDayYear
Date
Insurance Policy Term*
Has the Association had any losses in the last 3 years?*

NOYES
If YES, please explain the losses:
Does the Community have a Deductible Resolution in place?*

NOYES
IF YES, Please give details:
Community Property Manager Information
Community/Property Manager Full Name*

First NameLast Name
Office number with Extension:*
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
Email*
example@example.com
Community/Property Manager Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Community Property Risk Summary
Year Built*
Number of Buildings*
Number of Units *
Number of Stories*
Percentage of Rentals:*
Is this a gated community?*

NOYES
What type of Security does this property have:*

On-SiteDrive-ByNone
Is this an age restricted community?*

NOYes
If YES, please indicate the age restriction:
What Amenities are owned by the association? (select all that apply):*

PoolClubhouseLakesSports CourtsGymOther
Please specify if you selected "Other":
If the community has multiples of any amenity listed above, please list the amenity and the multiple. (For example, 3 pools, 2 sports courts, etc.):
What are the operating expenses?*
What is the balance of the community reserve fund?*
Roads responsibility:*
This property has:*

Attached GaragesDetached GaragesCarportsNone of the above
What updates have been made (select all that apply):*

HVACElectricalPlumbingRoofing System
What year were the above updates made? Please Specify which date goes with each update:
Type of Building Construction (Example: Framed, Joint Masonry, etc.):*
Type of Roof:*
Are Fireplaces allowed in the Community:*

NOYES
If YES, what type:

WoodGasBoth Wood and Gas
Does the property have a fire sprinkler system?*

NOYES
Does the property have smoke detectors*

NOYES
Please upload the follwoing documents below:

·       CC&Rs

·       Bylaws

·       Articles of Incorporation

·       Current Budget

·       Current Financials/Profit-Loss/Balance Sheet

·       Current Insurance policies

·       Current Certificates of insurance

·       Site/Plat Map

·       List of Community addresses (names not needed)
File Upload

Cancelof
Consent and Authorization for Communication

To allow our agency the ability to provide your requested quote and to effectively schedule an appointment(s) to review that quote, we need to get your authorization to allow The Firebird Agency, LLC and our staff to communicate with you by means of emails, phone calls, and SMS text messages. By clicking the checkbox below and providing your email and phone number, you consent and agree to receive messages by those means from The Firebird Agency, its agents, and staff. Your authorization is allowing The Firebird Agency, their agents, and staff to also use SMS text messages to effectively communicate with you regarding our programs, offers, marketing, and other information that may be of interest to you. You also understand that you do not have to agree to receive autodialed or prerecorded calls or texts in order to use and enjoy the products and services offered by The Firebird Agency, LLC. You may decline to receive autodialed or prerecorded calls or texts to your mobile phone number in several ways, including by responding with STOP or by emailing the request to opt out with the mobile number, to serviceteam@fbagency.net Your carrier's standard messaging and data rates may apply. To move forward with working with our Firebird team, please give your authorization below. Then click the green submit button.
The next page will give you the option to electronically send your policy information to our team. This will be sent to us directly from your current carrier(s) so we have the most up to date policy information.
Should be Empty: