Property
General Liability
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Worker's Compensation
Alternative to Workers' Compensation
Professional
Employment Practices
Crime
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Umbrella or Excess Liability
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Insurance Solutions Group LLC
Please complete the form below to recieve your customized insurance quote.
Contact Person Information
Contact:
Email:
Mailing Address:
City:
State:
-Select-
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Phone Number:
(
)
-
Fax:
(
)
-
Complex Information
Complex Name:
Complex Address
City:
State:
-Select-
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Management Company
How many years has this property been with the same management company?
Year Built:
-Select-
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
Prior to 1950
Number of Units:
Number of Pools:
-Select-
No Pool
1 Pool
2 Pools
3 Pools
4 Pools
5 Pools
6 Pools
7 or More
Buildings with 2 Stories or Less:
-Select-
1 Building
2 Buildings
3 Buildings
4 Buildings
5 Buildings
6 Buildings
7 Buildings
8 Buildings
9 Buildings
10 Buildings
11 Buildings
12 Buildings
13 Buildings
14 Buildings
15 Buildings
16 Buildings
17 Buildings
18 Buildings
19 Buildings
20 Buildings
21 Buildings
22 Buildings
23 Buildings
24 Buildings
25 Buildings
26 Buildings
27 Buildings
28 Buildings
29 Buildings
30 Buildings
31 Buildings
32 Buildings
33 Buildings
34 Buildings
35 Buildings
36 Buildings
37 Buildings
38 Buildings
39 Buildings
40 Buildings
41 Buildings
42 Buildings
43 Buildings
44 Buildings
45 Buildings
46 Buildings
47 Buildings
48 Buildings
49 Buildings
50 Buildings
51 or More
Buildings with 3 Stories or More:
-Select-
1 Building
2 Buildings
3 Buildings
4 Buildings
5 Buildings
6 Buildings
7 Buildings
8 Buildings
9 Buildings
10 Buildings
11 Buildings
12 Buildings
13 Buildings
14 Buildings
15 Buildings
16 Buildings
17 Buildings
18 Buildings
19 Buildings
20 Buildings
21 Buildings
22 Buildings
23 Buildings
24 Buildings
25 Buildings
26 Buildings
27 Buildings
28 Buildings
29 Buildings
30 Buildings
31 Buildings
32 Buildings
33 Buildings
34 Buildings
35 Buildings
36 Buildings
37 Buildings
38 Buildings
39 Buildings
40 Buildings
41 Buildings
42 Buildings
43 Buildings
44 Buildings
45 Buildings
46 Buildings
47 Buildings
48 Buildings
49 Buildings
50 Buildings
51 or More
Number of Buildings:
-Select-
1 Building
2 Buildings
3 Buildings
4 Buildings
5 Buildings
6 Buildings
7 Buildings
8 Buildings
9 Buildings
10 Buildings
11 Buildings
12 Buildings
13 Buildings
14 Buildings
15 Buildings
16 Buildings
17 Buildings
18 Buildings
19 Buildings
20 Buildings
21 Buildings
22 Buildings
23 Buildings
24 Buildings
25 Buildings
26 Buildings
27 Buildings
28 Buildings
29 Buildings
30 Buildings
31 Buildings
32 Buildings
33 Buildings
34 Buildings
35 Buildings
36 Buildings
37 Buildings
38 Buildings
39 Buildings
40 Buildings
41 Buildings
42 Buildings
43 Buildings
44 Buildings
45 Buildings
46 Buildings
47 Buildings
48 Buildings
49 Buildings
50 Buildings
51 or More
Gross Sq. Feet:
Total Building Value:
Annual Rents 100%:
Contents Value:
When was roof last replaced?
-Select-
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
Prior to 1950
Does the resident pay electrical costs in addition to the rent?
-Select-
Yes
No
Not Sure
Construction Type:
-Select-
Brick
Frame
Stucco
Metal
Other
Roof Type:
-Select-
Comp Shingle
Wood Shingle
Tile
Flat
Other
Wiring Type:
-Select-
Copper
Aluminium
Pigtail
CO/ALR
Other
Fire Protection:
-Select-
Sprinklers
Alarms
Smoke Detectors
All of the Above
None of the Above
Are there any fireplaces?
-Select-
Yes
No
Not Sure
How many units are ...Section 8?
-Select-
None
Not Sure
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
100+
...Elderly?
-Select-
None
Not Sure
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
100+
...students?
-Select-
None
Not Sure
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
100+
What major areas have been rehabbed and when were they completed?
Are all units in compliance with safety device statutes?
-Select-
Yes
No
Not Sure
Current Insurance Carrier and Expiration Date of Current Policy:
  Property
  Exp Date
/
/
  General Liability
  Exp Date
/
/
Known Losses in the Past 5 Years:
Mortgage Company Information
Ownership Entity Name:
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