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*indicates required fields *Name *E-mail *Street address *City County State *Zip Code Home Phone Work Phone FAX   Address City County State *Zip Code   *Year Built Construction Type Stucco/Masonry Frame (predominantly wood) Non-Combustible Building Type 1 to 4 Stories 5 Stories & over Basement Type None Unfinished Basement Partially Finished Basement Finished Basement Air Conditioning No Air Conditioning Window Air Conditioners Central Air Conditioning Parking Type Carports Garage or ground level parking under roof Underground parking Enclosed Parking Sq.Footage Building Sq.Footage Elevators Yes No Building Sprinklered Yes No Boat Dock Liability Yes No Swimming Pool Yes No Number of Units Number of Buildings Percent of Commercial Occupancy   *Building Coverage Contents Coverage Liability Limits $100,000 $300,000 $500,000 $1,000,000 $2,000,000 Deductible Options $500 $1,000 $2,500 $5,000 $10,000 Employees at Location Full Time Part Time Employee Dishonesty None $5,000 $10,000 $20,000 $30,000 $40,000 $50,000 Earthquake Yes No Board of Managers Yes No Building Laws Yes No Water Damage Yes No Hired Auto Yes No Employer's Non-Owned Auto Yes No Heating & Air Conditioning Equipment Basic Broad Heating Boilers Any losses within the last three years? If yes, please explain in remarks below:     Current Insurance Expiration Date Requested Effective Date   How would you like to receive your free Condominium Association quote? U.S.Postal E-mail Fax