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