Commercial Property/Liability Insurance

"*" indicates required fields

Step 1 of 12

CAA Member #

Insured Name*

Mailing Address*

Street Address City State ZIP Code

Phone*

Website

Years in Business*

You may only enter numbers in this field.

Type of Business*

Individual

Corp

LLC

Trust

Federal Identification Number :*

Expiration Date:*

MM slash DD slash YYYY

Location # 1

Name*

Physcial Location Address

Street Address City State ZIP Code

Square Footage of Building*

Age of Building/ Year Built*

Construction*

Frame

Joisted

Masonry

Metal

# of Stories*

# of Units*

Occupancy*

Apartment

Condo

Du-Plex

Commercial

Limits of Liability*

$1,000,000/$2,000,000

$2,000,000/$4,000,000

Building Limit*

Roof Type*

Asphalt

Clay

Membrane

Shake

Other

Valuation of Building*

Replacement Cost

ACV

Historical Building/Area*

Yes

Parking under building*

Yes

If Yes*

First Story

Subterranean

If Yes; Sq. Ft*

Decks*

Yes

If Yes, Sq. Ft. of Each*

Total Sq. Ft. of Decks*

Heating Fuel*

Gas

Electric

Other

Hot Water Heater*

Yes

If yes, where are they located:*

Is the Water Heater Strapped?*

Yes

Type of Water Heater*

Gas

Electric

Other

Smoking Allowed*

Yes

If Yes, Describe Controls*

Building Updates

Updates*

Type

Date

Please add all types and dates for the items that have been updated. Examples of types of updates - Electrical, Plumbing, Heating, Roof, Circuit Breakers, Fuses, Copper, PVC, Steel, Copper, Alluminum.

Comments Regarding Updates:

Note: Attach current policy declaration page and carrier loss runs if available

File

Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB.

Tenants

Units Rented*

Daily

Weekly

Monthly

Annually

Any Government subsidized or tax credit housing?*

Yes

If Yes, # of units occupied:*

Any Student Renters?*

Yes

Are Pets Permitted?*

Yes

Tenants Screened Prior to Leasing?*

Yes

Tenants required to carry personal Property & Liability Insurance?*

Yes

If Yes, what are the Limits of Insurance?*

Premises/Exposures

Water Exposures:*

Lakes/Ponds

Creeks/Streams

Fountain

None

Describe the Water Exposures*

Playground, school or park within one block?*

Yes

Clubhouse rental

Yes

N/A

Residents only

Yes

N/A

Clubhouse alcohol policy

Yes

N/A

Comments Regarding Clubhouse Alcohol Policy:

Exercise/Playgrounds

Choose all that apply*

Exercise Facilities

Exercise Room

Free Weights

Tennis Courts

Basketball Courts

None

Playground Equipment*

Yes

Describe:*

Controlled Access*

Yes

Type of Playground Surfacing Material:

Wood Chips (Mulch)

Fine Sand

Coarse Sand

Fine Gravel

Medium Gravel

Shredded Tires

Engineered Wood Fibers (uniform wood chips)

Rubber Surfacing (tile, loose poured)

Other

Comments Regarding Playground Surfaces:

Warning Communication/Signs?

Yes

Located near high traffic areas?*

Yes

Pools/Spas

Swimming Pools*

Yes

If yes, maximum depth in feet:*

Spas*

Yes

Saunas*

Yes

Pool Equipment/Items in Place

Diving Board

Dual Drain System

Emergency Phone in Area

Pool Slide

Lifeguards Provided

Anti-Vortex Drain Covers

Rescue Pole

Proper Warning Signs

Video Surveillance

Life Saving Ring

Slip resistant Surface

Self-Closing/Latching Gate(s)

Choose all that apply.

Self-Closing/Latching Gate(s)*

Yes

Garbage Collection

Garbage Dumpster(s) Distance from Building (ft)?

Cooking

Type of indoor cooking equipment*

Gas

Electric

BBQ grills allowed on porches/decks*

Yes

Common area BBQ grills provided*

Yes

Sprinklered balconies*

Yes

Security

Security Fence*

Yes

Security Cameras*

Yes

Exterior Lighting*

Yes

# of Access Points to Property*

Existing Controls

Perimeter Fence

Posted Warning Signs/Disclaimers

Door Peep Holes

Room doors w/ dead bolt locks

Emergency lighting

Exterior doors solid or 20 minute + fire doors

Emergency exits marked

Employee Background Check

On-site security/watchman

Access Controlled Gate(s)

(Check if control exists)

Individual Unit Security System(s)

Tenant can purchase

Landlord provides

None

Security bars on windows*

Yes

If yes, Quick release

Yes

Laundry

Does the property have tenant laundry*

Yes

Washer/Dryer Connection in Units*

Yes

If yes*

Gas

Electric

Type of Washer Hoses*

Rubber

Braided Stainless Steel

Management/Operations

Average rent per unit*

Rents collected*

Yearly

Monthly

Weekly

Other

Percentage of furnished units

Tenant turnover % per year

Number of properties owned

Number of Owner employees

Can tenants sublease*

Yes

Risk Management/Maintenance

Type of management*

Employee

Owner

Management Co.

Other

Manager name

Management Co./Owner Years in Business*

Manager on site*

Yes

Maintenance on site*

Yes

Preventative Maintenance Program*

Yes

Comments

Premises Self-Inspection Log?

Yes

Certificates of Insurance Obtained*

Yes

If yes, minimum limits:

Hold harmless or Indemnification Agreements?

Yes

Comments

Property owner named as additional insured*

Yes

Comments

Name

This field is for validation purposes and should be left unchanged.

Location # 1

Building Updates

Tenants

Premises/Exposures

Exercise/Playgrounds

Pools/Spas

Garbage Collection

Cooking

Security

Laundry

Management/Operations

Risk Management/Maintenance

Featured Webinars

Latest News

Claremont rent registry defeated

CAA questions authority behind Larkspur’s rent registry mandate

Sacramento fire fee hikes up for vote next week; CAA urges rental owners to speak out

Location # 1

Building Updates

Tenants

Premises/Exposures

Exercise/Playgrounds

Pools/Spas

Garbage Collection

Cooking

Security

Laundry

Management/Operations

Risk Management/Maintenance

Featured Webinars

Compliance Conversations: Spotlight on Source of Income Fair Housing Protections

Understanding the Section 8 Housing Voucher Program

Tenant Screening Process Webinar

Latest News

Claremont rent registry defeated

CAA questions authority behind Larkspur’s rent registry mandate

Sacramento fire fee hikes up for vote next week; CAA urges rental owners to speak out