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Tentative Condominium Unit Owner Quote
Customer Information
Applicant:
Location of Property:
Limits of Insurance
Contents:
Unit Owner:
Other Structures:
(Policy automatically includes 10% of building amount, enter any additional coverage desired.)
Theft:
NOT TAKEN
$2000
$3000
$4000
$5000
City:
Chesapeake
Chesterfield
Henrico
Norfolk
Portsmouth
Richmond
Remainder of State
Liability:
$0
$100,000
Deductible:
$500 deductible
$1000 deductible
$2500 deductible
Windstorm or Hail Deductible:
Base Deductible
$1000 deductible
$2000 deductible
$2500 deductible
$5000 deductible
Inflation Guard:
Replacement Cost Contents:
Rating Information
Please enter Effective Date in MM/DD/YYYY format, for example, 09/14/2022
Construction:
Frame
Veneer
Masonry
Mobile Home
Fire Resistive
Seasonal:
Primary
Secondary
Seasonal
Occupancy:
Condominium
Number of Housing Units Between Fire Divisions:
1
2
3
4
5
Protection:
Protected
Semi-protected
Unprotected
EC Wind Territory:
Inland
Seacoast
Beachfront
List Territories
Perils:
Fire
Fire/EC
Fire/EC/Vandalism
Broad Form
Effective Date:
Ordinance and Law
Residential Association Loss Assessment
Condition Codes
Check all that apply.
Click here to un-check all codes.
L6 - Broken windows
L7 - Falling plaster
L8 - Sagging or deteriorated floors
L9 - Sagging roof
M1 - Deteriorated roof
M2 - Unpainted wood surfaces
M3 - Interior needs painting
M4 - Roof leaks
M5 - Wood deteriorated
M6 - Chimney deteriorated
O1 - Rubbish or debris in yard or under building
O2 - Rubbish, litter or debris inside building
O5 - Open/no continuous masonry foundation
O6 - Loose, missing, damaged siding/board
O7 - Porches or stairways in poor condition
O9 - Debris conducive to VMM losses
P6 - Unusual/extreme exposure from cov. peril
P7 - Holes in floor
P8 - Holes in wall
P9 - Holes in ceiling
Q2 - Eaves deteriorated
Q3 - Building out of plumb
Q4 - Poor housekeeping
Q5 - Holes in foundation
Q6 - Water damage from within risk
Unavailable condition codes
These are
not
eligible with
liability
:
These require
extended coverage
:
These require
vandalism coverage
:
These are
not
eligible with
ordinance and law
:
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