General Information Physical Address What is the physical address of the storage facility?
Is this building/location owned or leased? Is this building/location owned or leased?
Is this building/location commercial or residential? Is this building/location commercial or residential?
Is the building a multi-tenant building? Is the building a multi-tenant building?
Is there any restoration work being done on the premises? Is there any restoration work being done on the premises?
Security Protection What security protections are in place at this building/location? (Check all that apply) What security protections are in place at this building/location? (Check all that apply)
Building Construction Select the construction material used for the walls. Select the construction material used for the walls.
Select the construction material used for the roof. Select the construction material used for the roof.
Select the construction material used for the floors. Select the construction material used for the floors.
Select the type(s) of climate control at this facility. Select the type(s) of climate control at this facility.
Fire Protection What type of fire alarm does the facility have? What type of fire alarm does the facility have?
What other types of fire protections does this facility have in place? What other types of fire protections does this facility have in place?
Flood/Hurricane Exposure (For vehicles stored in FL, GA, MS, LA, SC, TX, NC, VA, DE, NJ, NY, CT, RI, ME, AL, HI, or MD)
Is this storage facility subterranean or below grade? Is this storage facility subterranean or below grade?
Does the facility have a pumping system that is attached to a backup generator? Does the facility have a pumping system that is attached to a backup generator?
Is there a drainage system installed at this location? Is there a drainage system installed at this location?
Has the storage location ever had any flood or wind retrofitting? Has the storage location ever had any flood or wind retrofitting?
Have you ever had any flood-related claims on the building or contents? Have you ever had any flood-related claims on the building or contents?
Is there a hurricane evacuation plan in place for the vehicles? Is there a hurricane evacuation plan in place for the vehicles?
How would vehicles be moved in an evacuation? How would vehicles be moved in an evacuation?
What address would the vehicles be moved to? What address would the vehicles be moved to?
Provide a description of this address and its safety/security features. Provide a description of this address and its safety/security features.
Earthquake Exposure (For vehicles stored in CA, NV, OR, AZ, IL, KY, MO, IN, AR, AK, HI, or WA)
Has the storage location ever had any retrofitting or other wall bracing? Has the storage location ever had any retrofitting or other wall bracing?
Have you ever had any earthquake-related claims on the building or its contents? Have you ever had any earthquake-related claims on the building or its contents?
Documents and Comments Please enter any additional remarks in the space below. Please enter any additional remarks in the space below.
Disclaimer: This online questionnaire is a tool used to gather information. It is not an application for insurance. No insurance coverage will be bound or put into effect by submitting this form.
Consumer disclosure: By checking the box below you authorize the Agency who supplied this form to you to contact you via phone, email, and text messaging; to save and share with business partners the information you provided; to obtain consumer reports that may include credit-based reports (where legally allowed), public records, claims history, and driving records so that they can give you accurate insurance quotes. ** Disclaimer: This online questionnaire is a tool used to gather information. It is not an application for insurance. No insurance coverage will be bound or put into effect by submitting this form.
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