Habitational - Hutch

Habitational Questionnaire—Questions Found in Bound Application

Do ALL buildings have two separate exits from each unit?

Do ALL buildings have hard wired smoke detectors with battery backup OR smoke detectors with long life lithium batteries installed in every unit?

Do ALL buildings have a fire alarm system?

Do ALL buildings have multi-purpose fire extinguishers available in all hallways and common areas?

Do ALL buildings have emergency lighting installed in all common areas?

Do ALL buildings require written, 12 month leases?

Do ALL buildings have a lease agreement requiring tenants to carry their own insurance with certificates of insurance provided to the building owner?

Do ALL buildings have an occupancy rate 80% or higher?

Do ANY buildings allow grilling or other outdoor fires within 10 feet of any structure?

Do ANY buildings contain student housing, assisted living, or seasonal/timeshare occupancies, or short term rentals?

Do ANY buildings have recreational facilities, such as swimming pools, exercise equipment, playground, tennis court, dock/boat slip etc?

Do ALL buildings have carbon monoxide detectors installed in all units that have gas appliances or fireplaces?

Business

Business name:

Legal entity:

Number of employees:

Contact name:

First Last

Phone:

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Other location(s):

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email:

Website / Social Media:

Annual sales:

Annual payroll:

Federal tax ID number:

Franchise:

Current carrier:

Years with current carrier:

Policy expiration date:

Number of claims in past 5 years:

Claim(s) details:

Occupancy:

Describe:

Property

Do you have more than one property?

Blanket

Deductible amount:

Coinsurance amount:

Replacement cost value:

Actual cash value:

Building value:

BPP / Contents:

Additional Property (signs, lights, clocks, fences, playgrounds, etc.)

Physical address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

County:

Construction type:

Year built:

Year of roof:

Total square footage:

Your square footage:

Sprinklered:

List other tenants:

Tenant square footage:

Rental Income protection:

Sewer / Drain:

Employee dishonesty:

Equipment breakdown

Include enhancement endorsement

Property (for use if more than one building)

Blanket

Deductible amount:

Coinsurance amount:

Replacement cost value:

Actual cash value:

Building value:

BPP / Contents:

Additional Property (signs, lights, clocks, fences, playgrounds, etc.)

Physical address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

County:

Construction type:

Year built:

Year of roof:

Total square footage:

Your square footage:

Sprinklered:

List other tenants:

Tenant square footage:

Rental Income protection:

Sewer / Drain:

Employee dishonesty:

Equipment breakdown

Include enhancement endorsement

General Liability Limit

Select one:

Umbrella?

Data Breach liability:

Employee benefit liability:

Employment practices liability:

Deductible:

Number of Employees (full-time):

Number of Employees (part-time):

Third-party coverage?

Additional Underwriting Questions

Does the insured have a written preventive maintenance plan for all properties?

Who handles property maintenance?

If snow removal, janitorial, pool service, landscaping, building maintenance is subcontracted out, is there contractual requirements in place to have subcontractors name the insured as an additional insured with waiver of subrogation and primary and noncontributory language?

Are any of the circuit breakers Federal Pacific or UBI Stab Lok type?

Is there a pet policy in place describing what are acceptable pets?

Are BBQ grills allowed on balconies??

Any wood burning stoves or fireplaces present?

Habitational – Hutch