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For a list of quote forms available, please press "Applications" tab above.

           R.R.I.S. Multi Unit Building Owner Questionnaire                 


To request a no-cost, no-obligation insurance quote, just fill out the information below and press the submit button.

You may print and fax to our office if you wish.  We'll have a representative call at your convenience to give you a quote.

Ritchie and Rose Insurance Services, Inc. DOI#0F44143

PO Box 1114, Anderson, CA  96007

email: sherir@ritchieandrose.com

http://www.ritchieandrose.com

                                            Phone: 530-365-4705   Toll Free Fax: 866-885-1428                                       

ATTN:  Ritchie & Rose

 (sherir@ritchieandrose.com)
TOLL FREE FAX:  (866) 885-1428
 

Please provide the following information:    

Referral Agent

(The Referral Agent is the name of your Insurance Agent in our office or how you became aware of our website)

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
FEIN #
Work Phone
Home Phone
FAX
E-mail
URL

Enter the physical location below


Enter your current insurance carrier and expiration date


Enter complex name


Current limit of coverage on your building(s)


Your current business personal property/contents limit


What is your current monthly income for rents?


What is your current general liability limit?


Do you have an Umbrella Liability Policy? If so, what is the limit?


Describe any claims you have had in the past five (5) years. Include date of loss and description.


What is/are the number of buildings at this location?


Number of stories ?


What are the number of units at this location?


What is the total square footage of building(s)?


What year was the building built?


Construction type of building:


What is the roof type:


When was the roof last replaced or updated?


When was your electrical last updated?


Do you have circuit breakers?


When was your plumbing updated?


What type of pipes is your plumbing?


What type of heating and air conditioning do you have?


Do you have a swimming pool?


Please describe alarm systems and number of fire extinguishers on each building:

Sheri Ritchie / Ritchie & Rose Insurance Services, Inc.
Bus  (530) 365-4705   Fax (866) 885-1428   DOI License No.  
0F44143


sheriritchie@gmail.com
Copyright 2006[Ritchie & Rose Insurance Services, Inc.]. All rights reserved.
Revised: 06/08/2013 04:19 PM