Property Insurance Renewal (2025-26)

Property Insurance Program

House Corporation & Chapter Information
Chapter*
Host Institution *
First Name*
Last Name*
Email*

Confirmation EmailEmail confirmation.
Pipe Burst Limit (Import)
House Corporation Acknowledgement*

Please check this box to acknowledge you a representative of the house corporation for the above chapter of Pi Kappa Alpha.

Insured Values
CoreLogic Building Valuation (Import)
Corelogic Building Valuation
Reported Business Personal Property (Contents) (Import)
Reported Business Personal Property (Contents)
Reported Business Income (Import)
Reported Business Income
Estimated Extra Expense (Import)
Estimated Extra Expense
Total Insured Values (TIV) (Import)
Total Insured Values (TIV)
Blanket Limit (TIV +20%) (Import)
Blanket Limit
The above amount in most cases is TIV +20%.
Maximum Program Values Acknowledgement*

This program is capped at $8M in values. Since your values exceed $8M, you will have the option to purchase excess property insurance to bridge the gap between $8M and the blanket limit listed above. The cost of this excess coverage is listed on the next page.
Values Acknowledgement*

Please check this box to confirm the above values. If you would like to make any changes to the above values, please contact insurance@pikes.org and do not proceed with this form.

Deductibles
AOP Deductible (Import)
AOP Deductible
Higher deductible options are available, which would likely reduce your costs.
Earthquake Deductible (Import)
Earthquake Deductible
Minimum deductible: $25,000. If the above is a percentage, it is a percentage of your building value. Only applicable if optional coverage is purchased.
Flood Deductible (Import)
Flood Deductible
Minimum deductible: $25,000. Only applicable if optional coverage is purchased.
Named Storm / Hurricane Initial Deductible (Import)
Named Storm / Hurricane New Deductible (Import)
Water Damage Deductible
Thunderstorm / Hail / Wind Initial Deductible (Import)
Thunderstorm / Hail / Wind New Deductible (Import)
Thunderstorm / Hail / Wind Deductible
Varies per state. See option to “buy-down” deductible on page 2.
Pipe / Water Freeze Deductible (Import)
Pipe / Water Freeze Deductible
For losses from Pipe Freeze / Water Freeze. Minimum deductible: $15,000.
Water Damage Deductible (Import)
Named Storm / Hurricane Deductible
Special Note: If insured location is in Tier I or Tier II County / Parish in states of TX, LA, MS, AL, FL, GA, SC, NC, or VA then Named Storm coverage must be purchased for additional premium and a special deductible applies. See option to “buy-down” deductible on page 2.

Confirmation
By signing below, I acknowledge that, in the event of a claim, the maximum recovery for my location is {blanketLimit163}. Unless I declined the coverage, the maximum recovery for my location for pipe / water freeze is {totalInsured162}. I also acknowledge that I have the option to increase the reported insured values above by contacting Favor & Company. I will receive an “Annual Insurance Cost Quotation and Optional Coverage Selection Form,” which will reflect any adjustment to the reported values, as well as any revised cost information.
By signing below, I acknowledge that, in the event of a claim, the maximum recovery for my location is {blanketLimit163}. Unless I declined the coverage, the maximum recovery for my location for pipe / water freeze is {totalInsured162}. I also acknowledge that I have the option to increase the reported insured values above by contacting Favor & Company. I will receive an “Annual Insurance Cost Quotation and Optional Coverage Selection Form,” which will reflect any adjustment to the reported values, as well as any revised cost information.
By signing below, I acknowledge that, in the event of a claim, the maximum recovery for my location is $8,000,000. Unless I declined the coverage, the maximum recovery for my location for pipe / water freeze is {totalInsured162}. I also acknowledge that I have the option to increase the reported insured values above by contacting Favor & Company. I will receive an “Annual Insurance Cost Quotation and Optional Coverage Selection Form,” which will reflect any adjustment to the reported values, as well as any revised cost information.
Please sign below.*
Date*

MonthDayYear
Program Update Acknowledgement*

Please check this box to acknowledge that you understand that changes that have been implemented for the Property Insurance Program.
Confirmation*

Please check this box to acknowledge that you understand that this form cannot be submitted more than once. Please do not press submit until values, coverages, and deductibles have been finalized by the House Corporation. If you have questions about any values, coverages, or deductibles please contact insurance@pikes.org, and do not press submit.
Should be Empty:

Property Insurance Program

Insured Values

Program Costs & Coverages

Deductibles

Confirmation