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California Apartment Association

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    Employment Practices Insurance

    "*" indicates required fields

    Step 1 of 4

    25%
    This field is for validation purposes and should be left unchanged.

    General Information

    Name of Parent Company*
    Address*
    Has the Company been in business longer then three (3) years?*
    Is the Company public-held or a public reporting company under the Securities Exchange Act of 1934?*
    Does the Parent Company own more than three (3) subsidiaries? If yes, please provide details in the box below.*
    Has the Company in the past 18 months been involved with any actual, negotiated or attempted merger, acquisition or divestment? If yes, please use the box below to provide details.*
    Does the Company contemplate transacting any mergers or acquisitions in the next 12 months where such merger or acquisition would involve more the 50% of the total assets of the Company? If yes, please use the box below to provide more details.*

    Financial Information

    Describe the following financial information of the Company for the most recent fiscal year-end.

    Total Assets*
    Gross Revenues*
    Net income?*
    Please Choose One
    Net income or net loss applicable amount:*
    Cash flow from operating activities.*
    Please Choose One
    Cash flow from operating activities applicable amount:*
    Do the current liabilities exceed current assets? If yes, please use the box below to provide details.*
    Do long-term liabilities exceed 75% of total assets? If yes, please use the box below to provide details.*
    Will more then 50% of the total long-term liabilities mature within the next 18 months? If yes, please use the box below to provide details.*
    Does the Company anticipate in the next 12 months or has the Company transacted in the last 24 months any restructuring or legal or financial reorganization or filing for bankruptcy? If yes, please use the box below to provide details.*
    MM slash DD slash YYYY

    Prior Insurance Information

    Describe any current insurance maintained. The Continuity Date means the policy inception date for which the most recent form application was attached.

    Coverage
    Did you have Employment insurance?*
    MM slash DD slash YYYY
    Did you have Directors and Officers insurance?*
    MM slash DD slash YYYY
    Did you have Fiduciary insurance?*
    MM slash DD slash YYYY
    Did you have Crime insurance?*
    MM slash DD slash YYYY
    Did you have Technology Media & Professional Services insurance?*
    MM slash DD slash YYYY
    Did you have Miscellaneous Professional Services insurance?*
    MM slash DD slash YYYY
    Has any insurer made any payments, taken notice pf claim or potential claim or non renewed any management liability or similar insurance any time in the last 24 months? If yes, please use the box below to provide details.*

    Prior Activites Information

    Within the last three (3) years, has any person or entity proposed for this insurance been the subject of or involved in any litigation, administrative proceeding. demand letter or formal or informal government investigation or inquiry including any investigation by the Department of Labor or the Equal Emplayment Opportunity Commission. If yes, please use the box below to provide details.*
    Within the last three (3) years, has any person or entity proposed for this insurance has any crime losses. If yes, please use the box below to provide details.*

    Popular Topics

    • Rent Control
    • AB-1482
    • Security Deposits
    • Application and Screening
    • Just Cause

    All Topics

    Latest News

    • Los Angeles postpones vote on small landlord adjustment to rent control proposal December 4, 2025
    • New compliance forms for 2026 now available: Key updates tied to new laws December 3, 2025
    • L.A. County extends rent limits tied to declared emergencies until late December November 25, 2025

    All News

    California Apartment Association
    980 Ninth Street, Suite 1430
    Sacramento, CA 95814
    800-967-4222

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