Investor Real Estate Owned Property & Liability Application 06.19 Page 1 of 3
All Risks, Ltd. - National Specialty Programs
10150 York Road, 5
th
Floor, Hunt Valley, MD 21030
Phone: 800-366-5810
Fax: 410-828-8179
Contact us: programs@allrisks.com
www.allrisks.com
Investor Real Estate Owned Property & Liability Application
I. CLIENT INFORMATION
Application Date: ________________________________
Name Insured: __________________________________________________ Email: _____________________________________
Physical Address: _____________________________________________________________________________________________
City/State/Zip: ________________________________________________________________________________________________
Company Phone: ________________________________________ Company Website: __________________________________
Type of Company: Corporation LLC LP Public Private Other: _______________________________
Decision Maker Name: ___________________________________ Decision Maker Title: ________________________________
Decision Maker Phone: ___________________________________ Decision Maker Email: ________________________________
If current carrier is Lloyd’s of London, please provide the syndicate list. __________________________________________________
In addition to purchasing properties, are you involved in lending activities? Yes No
II. PORTFOLIO INFORMATION
*Please include with this application a Statement of Value for all properties that the insured wishes to have covered
with the following information: property number, property description (single family dwelling, condo, etc.) street
address, city, state, zip code, valuation type (replacement cost, market), valuation, construction type, year built, total
square feet, and additional structures and their valuation (pools, etc.).
1. Is the insured planning on purchasing additional units during the policy period? Yes No
If yes, approximately how many? ________________
2. Total Insured Value of Portfolio: ________________
3. Property Value Preference: Replacement Cost Actual Cash Value Other: _______________________
4. Does the insured wish to purchase flood and/or earthquake coverage? Yes No
5. Is the portfolio owned by multiple investors? Yes No
If yes, is there a single payment source? Yes No
III. PORTFOLIO MANAGEMENT
1. Are third party real estate management firms utilized? Yes No
If yes, please provide the name(s) of the third party real estate management firm(s) utilized by the insured, along with a
copy of the management contract and the insurance requirements necessary.
_____________________________________________________________________________________________________
2. Does the insured manage properties on behalf of other companies? Yes No
3. How long has the insured been in the business of purchasing, renovating, renting properties? _______________ years
4. Are all properties inspected prior to purchase? Yes No
If yes, does the insured have the inspections performed by a third party? Yes No
Investor Real Estate Owned Property & Liability Application 06.19 Page 2 of 3
If yes, please list the name(s) of the company(ies): ___________________________________________________________
_____________________________________________________________________________________________________
If yes, please describe the inspection process (exterior only, interior and exterior, etc.): ______________________________
_____________________________________________________________________________________________________
If yes, what percentage? _____________%
If not all properties are inspected, what percentage are? _____________%
5. What is the average time a property asset is held? _________________________________________________________________
IV. RENTAL INFORMATION
1. Does the insured utilize a standard lease agreement for the rentals? Yes No
2. Are all prospective renters subject to a background check? Yes No
3. Are all tenants required to purchase renters insurance? Yes No
4. Is the insured exposed to student housing? Yes No
5. Does the insured have subsidized renters? Yes No
6. Does the insured “rent to own” properties to tenants? Yes No
7. What is the vacancy rate for the insured’s properties? ____________________________________
8. On average, how long is a property vacant between tenants? ______________________________
9. Does the insured rent to seasonal tenants? Yes No
10. Are any of the properties vacation rentals? Yes No
11. Are all doors/sliding glass doors equipped with proper locks and deadbolt locks? Yes No
12. Does each dwelling have two means of egress? Yes No
13. Does each dwelling have smoke detectors and/or fire extinguishers? Yes No
14. Is there a procedure in place to replace smoke detector batteries? Yes No
15. Do any dwellings have decks or balconies? Yes No
16. Do you abide with all state tenant/landlord laws? Yes No
V. PORTFOLIO RENOVATION AND MAINTENANCE
1. Does the insured renovate properties if needed? Yes No
If yes, what is the average cost of renovation per unit? $: ___________________________
2. On average are the renovations cosmetic or structural? Cosmetic Structural
3. How long is the typical renovation period? _____________________________________________
4. Does the insured utilize its own construction crew for renovation or does it hire
independent contractors? Own Crew Independent Contractors
If the insured utilizes independent contractors, are they required to be fully insured and does the insured
require certificates of insurance? Yes No
5. Does the insured maintain a maintenance schedule for its properties? Yes No
6. How often are properties inspected? __________________________________________________
7. Do you and/or a contracted company winterize the properties? Yes No
VI. INSURANCE PROGRAM
If the insured has a current insurance program:
1. Who is the current carrier? ___________________________________________________________________________________
Investor Real Estate Owned Property & Liability Application 06.19 Page 3 of 3
2. Is the current insurance program on a master policy or individual property
policy basis? Master Policy Individual Property Policy
*Please provide the following: 3 years of currently valued loss runs.
3. Property Deductible Per Occurrence Preference (ex. CAT): $2,500 $5,000 $10,000
$25,000 Other: ___________
4. This coverage offers a $1,000,000/$2,000,000 General Liability limit. Does the client desire to purchase
excess liability coverage? Yes No
If yes, please indicate additional coverage limits desired: $1,000,000 $2,000,000 $5,000,000
$10,000,000 Other: ___________
5. Has the insured ever had his/her insurance program non-renewed or canceled? Yes No
If yes, please explain: __________________________________________________________________________________
_____________________________________________________________________________________________________
VII. ADDITIONAL QUESTIONS
1. Are any of the following exposures present at any of the insured’s properties? Swimming Pools Trampolines
Playground Sets
2. Are the insured’s tenants allowed to own dogs? Yes No
If yes, please describe any restrictions on size and breed: ______________________________________________________
_____________________________________________________________________________________________________
Insurance Broker:
Agency Name: _______________________________________________________________________________________________
Broker Name: ________________________________________________________________________________________________
Broker Phone: ________________________________ Broker Email: ______________________________________________
Signature: _________________________________________________________ Date: _______________________________
Name (print): ________________________________________ Title: ______________________________________________
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