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Condo Insurance Quote

Please provide the following details for your condominium insurance quote.

Policyholder Information

Date Insurance is Required*

Type of Dwelling

Name(s)*

Date(s) of Birth*

Relationship

Address for Coverage*

Email Address*

Phone (Home)*

Phone (Cell)

Insurance & Mortgage History

Is there a mortgage?

Do you currently have insurance?

Personal insurance losses or claims in the past 5 years

Ever been cancelled, declined or refused insurance?

Unit & Building Details

Contents Limit Required (min $40k)*

Year Built

Total Living Area (sq ft)

Stories in Building

# of Units in Complex

# of Bedrooms

# of Full Bathrooms

# of Half Bathrooms

Construction Type

Exterior Finish

Systems & Safety

Primary Heat

Plumbing Type

Hot Water Tank Year

Hot Water Tank In-Suite?

Sprinklers?

Burglar Alarm?

Occupancy & Business Use

Dog owner?

Roomers/boarders/tenants?

Live-in help?

Is this a rented dwelling?

Business from unit?

Additional Coverage & Consent

Additional Coverage for Valuables

List special items like jewelry, fine arts, collectibles, etc., with serial numbers and replacement cost.

Strata Deductible Assessment (Water/Earthquake)

If unsure, please submit a copy of your strata policy.

Quote for Earthquake coverage?

Consent to credit check for savings?

Additional Notes

I confirm that the information provided is accurate to the best of my knowledge.