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

Please provide the following information:    

(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:

Wood Frame Metal Frame Concrete Block

What is the roof type:

Wood Shingle Composition Shingle Tar & Gravel Metal Tile

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