Commercial Lines – Income Property – Lessors RiskEmet Digital2019-01-02T12:09:02-08:00 Get started by filling out this form and someone from our team will contact you shortly! Commercial - Income Property – Lessors Risk Effective Date For Your Policy* MM slash DD slash YYYY Select Program(s) You're Interested In* Basic Comprehensive (Includes Earthquake and Flood) Property & Liability Property Only Liability Only Vesting/Registered Owner InformationAccount Name* What interest do you have in the property?* Owner Property Manager How many years of experience does the insured have?*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Contact Person* First Last Email* Enter Email Confirm Email Phone*FaxIs the Named Insured the same as above?* Yes No Please provide the Named Insured for this policy.* Named Insured Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Contact Person* First Last Phone*What type of payment option are you looking for?* Direct Bil Payment Plan Would you like a quote for Insurance Certificate Monitor Service (ICM)?* Yes No Please provide the type of certificate to be monitored.* Tenant HOA Service Providers How many total certificates will need to be monitored?*Is this property habitational?* Yes No Both There are different requirements for property that is occupied by other commercial businesses as opposed to having tenants live there. How many properties do you need to insure?* Non-Habitational InformationHow many units?*Non-Habitational Tenant Operations:* Please describe the operations of the current tenants, such as the type of commercial business(es).What percentage of your property is currently occupied?*Do you have a sample lease available?* Yes No (this will be required later) Please upload your sample lease.*Accepted file types: jpg, gif, doc, docx, pdf, txt, png, Max. file size: 50 MB.Do you have a current insurance certificate available?* Yes No (this will be required later) Please upload your certificate.*Accepted file types: jpg, gif, doc, docx, pdf, txt, png, Max. file size: 50 MB.Do you have a rent roll available?* Yes No (this will be required later) A rent roll is a list of properties and total amount of rental income that is received from each one.Please upload your rent roll.*Accepted file types: jpg, gif, doc, docx, pdf, txt, png, Max. file size: 50 MB. Habitational Property SupplementalAny periodic inspections of Stairs, Balconies, Walkways, etc.?* Yes No How often?* What percentage of your building is occupied?*Please explain why occupancy is less than 90%.* Do you have any of the following?* None Market Rent Low Income (Affordable) Housing Section 8 Single Room Occupancy (SRO) Senior (unassisted) Living Assisted Living Convalescent Home/Nursing Home Student Housing Please provide the percentage of the building that has the above options.* Who operates the Assisted Living facility?* Owner Third Party Is management on site?* Yes No Do employees perform maintenance at site?* Yes No Do you allow tenants to have pets?* Yes No Are any of the following services provided? None Food Service Housekeeping Service Laundry Service Medical Service Transportation Service Social Activities Adult/Child Day Care Other Who provides the above services? Employees Third Party What type of wiring?* Copper Aluminum Are all switches and receptacles fixed using the CopAlum Crimp method?* Yes No Is the property within 2500 feet of a "brush area"?* Yes No How many buildings are there?*How many stories?*What is the building square footage?*Please check all of the following that the building has: None Interior stairways enclosed and equipped with self-closing fire doors on each floor Pull type "Life Safety" alarm Alarm on each floor Live safety sprinkler system covering stairs and hallways Trash shoots Elevators How many elevators?*Which of the following has smoke detectors? None Sleeping areas Hallways leading to sleeping areas Kitchens Common Corridors Common interior stairwells Trash shoots Are smoke detectors monitored on a 24-hour basis?* No Yes, by Employees Yes, by Third Party Is there emergency lighting in interior corridors longer than 75 feet?* Yes No Are there lighted EXIT signs in interior corridors?* Yes No How are the multiple buildings separated?* Are there fireplaces in the units?* No Electric Gas Wood Burning Automatic Earthquake Gas Shutoff Valve installed?* Yes No Any swimming pools?* Yes No Any spa(s)/Jacuzzi?* Yes No Please check all of the following that apply:* None Pool/Spa is fenced Fence complies with local ordinances Self-Closing/Self-Latching Gate Diving Boards Pool/Spa rules clearly posted in the pool area Lifesaving equipment (i.e. life ring, shephards hook) in pool/spa area Safety Drain/Intake Covers How tall is the fence?* Please check all the following that apply: None Playground(s) Tennis/Basketball Courts Golf Courses Other Recreational Facilities Entire property fenced What type of surface are your playgrounds?* What equipment do you have on the playgrounds?* How many Tennis/Basketball courts do you have?*Are the golf courses for the exclusive use of the members?* Yes No PhoneThis field is for validation purposes and should be left unchanged.
