Prior to completing the Quotation Request Form, please read the following, as this is important information that you should know. If you are requesting a quotation for a condominium site, or for a number of sites, we will assume that the corporation(s) is(are) compliant in a number of areas that are important to the underwriting process:

1. The corporation’s site is located in Ontario
2. The board of directors consists of 5 or more elected unit owners
3. There are no developer representatives on the board
4. An updated insurance appraisal is done at reasonable intervals
5. The site is managed by a reputable property management company
6. The reserve study is up to date and the reserve fund is being maintained
7. There are no outstanding work orders in need of completing

If the corporation qualifies with respect to the above items, please complete the form below and we will provide a proposal quickly.

Please Note:

Our proposal will be issued “subject to an inspection”, which we will arrange at our expense. If you wish our quote to be “firm and guaranteed, ” we will then inspect prior to quoting, but we will require time to arrange that inspection and ask that you give us up to 10 days to have that done. We welcome your own photographs which will certainly help to speed our service to you.

Please fill out the form below completely to allow us to provide an accurate estimate.

Client Information Corporation Name: * Management Company Name: * Management Company Address:* City:* Province:* Select One Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Postal Code :* Contact Person Name: Contact Person Email:* Contact Person Telephone:* Contact Person Fax:	Site Information Same as Client Information? Yes No Address: City: Province: Select One Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Postal Code :     Effective Date of Coverage:
Coverage/Deductables Details Coverage Levels Required   Building: $ General Liability: $ Boilers/Machinery $ Directors and Officers $ Employee Fidelity $ $     Deductibles Preferred   Building: $ General Liability: $ Boilers/Machinery $ Directors and Officers $ Employee Fidelity $ $	Building Details Building Type: Please Select One Residential Highrise - Under 10 Stories Residential Highrise - Over 10 Stories Townhouse Complex Industrial Plaza Strip Plaza Work/Live Complex Office Building Year Built: Construction Type: Please Select One Fully Fire Resistive Fully Fire Resistive/ Steel Deck Roof Masonry With Joist Brick Veneer Frame Mill Number of Stories: Sprinkler Systems (if any): Please Select One None Fully Mainfloor/Basement Fire Hydrant access? Yes No Employees Corporation Payroll: Name of Present Insurer:
Previous Claims

Claim
Type:	Select One Fire Water Liability Other
Date of Loss:
Amount Paid:	$
Reserve (if any):	$
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Claim
Type:	Select One Fire Water Liability Other
Date of Loss:
Amount Paid:	$
Reserve (if any):	$
^ remove this claim