Association Insurance Review Questionnaire
To assist us in protecting you against possible uninsured losses, and to keep our information current, please complete the following questionnaire and submit when completed
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Title
*
Date
*
-
Month
-
Day
Year
Date
Does the association wish to make, or do circumstances require any changes to the association’s current liability limits or coverage amounts?
*
Yes
No
Has the association made any improvements or renovations to your buildings or added any structures since you last reviewed the coverage amounts on your policy?
*
Yes
No
Do the association’s buildings/premises have Hard Wired Smoke Detectors?
*
Yes
No
Do the association’s buildings/premises have Dead Bolt Locks?
*
Yes
No
Do the association’s buildings/premises have Fire Extinguishers?
*
Yes
No
Do the association’s buildings/premises have Alarm Systems?
*
Yes
No
Has the association added, changed, or deleted any security features? (i.e. security guard, alarms, fire sprinklers)
*
Yes
No
Does the association own any vehicles?
*
Yes
No
What is the maximum amount of funds that the association has access to at any one time?
*
What is percentage of the association units are rented:
*
Do you obtain certificates of insurance from all subcontractors?
*
Yes
No
If the association does not have a workers’ compensation policy, would the association be interested in a workers’ compensation quotation?
*
Yes
No
N/A
Would the association be interested in a quote for Employment Practices Liability Insurance?
*
Yes
No
The association’s property policy DOES NOT provide flood coverage.Would the association be interested in a flood insurance costquotation?
*
Yes
No
If the association does not have an umbrella policy would the association be interested in an umbrella liability quotation?
*
Yes
No
Does the association require countersignatures on all checks? If no, please explain in Additional Information area below.
*
Yes
No
Please explain:
The association’s property coverage may exclude mold, if so, would you like a quote for mold coverage?
*
Yes
No
The association’s property coverage may not provide coverage for ordinance or law. Does the association want a quote for this very valuable coverage?valuable coverage?
*
Yes
No
Please list all persons authorized to sign checks:
Name
*
Title
*
Name
Title
Name
Title
Name
Title
Name
Title
Submit
Should be Empty: