Collector Car Storage Facility Form

What is your first name? **

What is your first name? *

What is your last name? **

What is your last name? *

What is your email address? **

What is your email address? *

What is your phone number? **

What is your phone number? *

General Information

Physical Address

What is the physical address of the storage facility?

Street Address Address Line 2 City State Zip

Year Constructed

What year was the building constructed?

Square Feet

What is the square footage of the building?

How many vehicles do you have stored as this location?

What is the number of vehicles this facility can safely store?

What is the total value of vehicles at this location?

How long have your vehicles been garaged at this location?

Is this building/location owned or leased?

Owned
Leased

Is this building/location commercial or residential?

Commercial
Residential

Is the building a multi-tenant building?

Yes
No

Please explain.

Is there any restoration work being done on the premises?

Yes
No

Please explain.

Security Protection

What security protections are in place at this building/location? (Check all that apply)

Central Station Burglar Alarm (monitored outside facility)
Local Burglar Alarm (only on premises)
No Burglar Alarm
Surveillance Cameras
24 Hour On-Premise Security
Padlocks or Deadbolts
Fenced/Gated Property
Watchdog on Premises
Other

What is the name of the central station monitoring company?

What other security protections are in place at this facility?

Building Construction

Select the construction material used for the walls.

Wood Frame
Steel Frame
Masonry

Select the construction material used for the roof.

Wood Frame
Steel Frame
Masonry

Select the construction material used for the floors.

Concrete
Wood
Tile

Select the type(s) of climate control at this facility.

Heat
Air Conditioning

How many stories does this facility have?

Fire Protection

What type of fire alarm does the facility have?

Central Station (monitored outside facility)
Local Alarm (alarm sounds only on premises)
No Alarm

What is the name of the central station monitoring company for the fire alarm?

What other types of fire protections does this facility have in place?

Fire Extinguishers
Sprinkler System
No Fire Alarm
Other

What is the sprinkler system inspection date?

What other type(s) of fire protection 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?

Yes
No

Does the facility have a pumping system that is attached to a backup generator?

Yes
No

Is there a drainage system installed at this location?

Yes
No

How far is this facility from the coast? (Miles)

Has the storage location ever had any flood or wind retrofitting?

Yes
No

Please describe.

What year was the flood and/or wind retrofitting completed?

Have you ever had any flood-related claims on the building or contents?

Yes
No

Please describe.

Is there a hurricane evacuation plan in place for the vehicles?

Yes
No

How would vehicles be moved in an evacuation?

Trailered
Self-Driven

What address would the vehicles be moved to?

Street Address City State Zip

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?

Yes
No

Please describe.

What year was the retrofitting or other wall bracing completed?

Have you ever had any earthquake-related claims on the building or its contents?

Yes
No

Please describe.

Documents and Comments

Please use this field to upload any relevant insurance documents.

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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. *

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Collector Car Storage Facility Form

General Information

Security Protection

Building Construction

Fire Protection

Flood/Hurricane Exposure

Earthquake Exposure

Documents and Comments

AJG (Ericson) Service

RiskRevu^TM Newsletter

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Collector Car Storage Facility Form

General Information

Security Protection

Building Construction

Fire Protection

Flood/Hurricane Exposure

Earthquake Exposure

Documents and Comments

AJG (Ericson) Service

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RiskRevu^TM Newsletter