Renewal - Condo - RiskRevu.com

Insured 1 - First Name

What is your first name?

Insured 1 - Last Name

What is your last name?

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Name

What is your full name?

Preferred Phone Number

What is your preferred phone number?

Primary Email

What is your email address?

Alarm System

Did you install an alarm system in your condominium / cooperative in the last 12 months?

Yes
No

Alarm components

Which components are included in your alarm system? Many components of centrally monitored alarm systems are eligible for discounts on your condo/co-op insurance.

Fire/Smoke
Burglar/Motion
Low Temperature
Water Leak Detection
Cellular Backup
Explosive Gas Leak Detection
Other

Alarm components other

What other alarm components does your alarm system have?

Risk Management

What risk management strategies do you employ at this residence?

Permanently Installed Back-up Generator
Water flow monitor and automatic water shut-off valve
Indoor sprinkler system
Seismic shut-off valve
Other

Other Risk Management Strategies

What other risk management strategies do you employ?

Trust / LLC

Is your Condominium/Cooperative owned by a trust, LLC or other legal entity?

Yes
No

Entity name

Please provide the name of the trust, LLC or other legal entity your condo/co-op is owned by.

Renovations

Any updates/renovations/additions planned or recently completed?

Yes
No

About renovations

Please tell us about the renovations.

Home updates

Have you updated any of these?

Electrical
Plumbing
Heating
Roof
No updates
Other

Updates Other

What other updates have you done?

Home business

Any business conducted in your condo/co-op?

Yes
No

Business description

Please tell us about your business.

Valuables acquired

Any significant acquisitions in the past 12 months that we should know about?

Jewelry
Fine Art
Silverware
Wine
Antiques
Firearms
Collectibles
Other

Other Valuables

What other type of valuables did you acquire?

Appraisals

Do you have any new appraisals for your valuables that you can upload to us?

Yes
No

Appraisal upload

Feel free to upload your appraisals to us.

Drop files here or

Max. file size: 128 MB.

Occupancy

Has the occupancy status of your condo/co-op changed?

Yes
No

Occupancy changed

How has the occupancy of your condo/co-op changed?

Renting to a long term tenant
Renting to a short term tenant (by the day, week or month)
Unoccupied for greater than 30 days
Unoccupied and for sale
Other

Occupancy other

What is the occupancy of this condo/co-op?

Flood insurance?

Would you like to discuss obtaining new flood coverage or higher flood coverage limits for your condo/co-op?

Yes
No

Anything else?

Anything else you want to discuss regarding your condominium/cooperative insurance?

Consent*

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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Condominium / Cooperative Evaluation

Veronica Benson

RiskRevu^TM Newsletter

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Condominium / Cooperative Evaluation

Veronica Benson

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RiskRevuTM Newsletter

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RiskRevu^TM Newsletter