Commercial Property Insurance – Lessor’s Risk App

Kindly complete the following questions in our efforts to obtain commercial property insurance for building owners.

GENERAL ENTITY INFORMATION

Legal Entity Name

Tax ID (FEIN)

Mailing Address

Contact Person Name *

Contact Person Email *

Contact Person Phone # *

Lender Name, Address, Loan # (If Relevant)

PROPERTY INFORMATION

Existing Insurance Policy Upload #1

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Physical Address (If Multiple Suites Please List)

Building

Year Purchased

Construction Type (Frame, Masonry, Joised Masonry, etc)

Number Of Stories

Number Of Basements (Clarify Full, Partial or Unfinished)

Total Land Square Footage

Total Building Square Footage

Year Built

Last Year Roof Updated

Roof Type (Shape and Material)

Last Year Plumbing Updated

Last Year Heat Updated

Type Of Heat (Boiler, Solid Fuel, HVAC, Other?

Last Year Electric Updated

Is there a Central, Local or No Burglar Alarm?

Are there Security Cameras?

Is there a Central, Local or Fire Alarm?

Is the building Fully, Partial or Not Sprinklered?

Add Information for Another Building On The Property Remove Building

TENANT INFORMATION

Describe All Tenants In Each Building Separately (Name, Square Footage Occupied, Monthly Rent Paid)

Are Tenants Responsible For Insurance, Taxes and Maintenance (Please Specify)?

Are Tenants Required To List Landlord As An Additional Insured, Waive Subrogation, and Maintain Certain Limits Of Liability In Their Signed Lease Agreement (Pleae Specify)?

CLAIMS HISTORY

Describe any Open or Closed Insurance Claims Last 5 Years (Liability or Property)

Submit