(415) 331-6500 Mill Valley, CA

HOA Insurance Quote

Homeowner's Association Insurance Quote

General Information
Contact Name *
Email *
Phone Number *
HOA Information  
HOA Name *
Expiration Date of Current Policy *
Name of Current Carrier
Number of Board Members *
Monthly HOA Dues per Individual *
Do You Wish to Have Earthquake Insurance Quoted?
Do You Currently Have Flood Insurance ?
Please list any claims the HOA may have had in the last 4 years  
Date               
Description     
Date                 
Description     
Date                 
Building and Premises Information
Year Built *
Total Number of Units *
Total Number of Seperate Buildings on the Premises *
Approximate Sq Ft of Each Unit *
Building Construction *
Type of Roof *
Parking? *
Is the Building Equipped with Fire Sprinklers?
Fire Alarms? *
 
 
Please list the  years of any updates that may have been completed for the following:  
          Electrical            
          HVAC                    
          Plumbing            
          Roof                   
   
Please decribe any pools,cabanas, club houses
                                                                               
club houses, tennis courts, or
any other community structure
that are on the premises.