Rush Quote – Lessor's Risk Only

Terms & Conditions

  • Assumes no losses; for accounts with losses, please submit the proper Acord application to apps@north-sea-ins.com
  • Ineligible classes:
    • Vacancy
    • Church Occupancy
    • Retirement Home/Elder Care Occupancy
    • Daycare, Schools, Community Center Occupancy
    • Auto Body Repair Occupancy
    • Personal Storage on Grade Level
    • 1 & 2 Family Dwellings (3 & 4 Family Dwellings must be 100% tenant occupied to be eligible)
    • Frame Attached to Frame or Within 25 ft of Another Frame Building
    • Property Values Exceeding 5 million Per Location and 6 Stories
  • Assumes No Location Within ¼ Mile of Water (No barrier islands)

If the risk meets the criteria above, please complete the form below and you will receive an indication within four (4) hours.
General Information
Agency Name:
Contact:
Agency Phone:
Agency E-mail:
Named Insured:
Insured Mailing Address:
Insured City:
Insured State:
Insured Zip:
Property Information - Location 1
Location Address:
City:
State:
Zip:
Construction Type:
 Frame Joisted Masonry
Non-Combustible Fire Resistive
Building:
 $
Rental Income:

$ With Extra Expense

Coinsurance:
 100% 90% 80%
Valuation:
 RC ACV
Cause of Loss:
 Basic Broad Special
Deductible:
 $1,000 $2,500 $5,000
Occupancy Information - Location 1
Please fully describe all occupancies
Mercantile Description:
(i.e., Gift Store, Restaurant,
Dry Cleaner, etc.)
Mercantile Square Footage:
Number of Apartments:
Number of Stories:
Total Square Footage:
Property Information - Location 2
Location Address:
City:
State:
Zip:
Construction Type:
 Frame Joisted Masonry
Non-Combustible Fire Resistive
Building:
 $
Rental Income:

$ With Extra Expense

Coinsurance:
 100% 90% 80%
Valuation:
 RC ACV
Cause of Loss:
 Basic Broad Special
Deductible:
 $1,000 $2,500 $5,000
Occupancy Information - Location 2
Please fully describe all occupancies
Mercantile Description:
(i.e., Gift Store, Restaurant,
Dry Cleaner, etc.)
Mercantile Square Footage:
Number of Apartments:
Number of Stories:
Total Square Footage:
Property Information - Location 3
Location Address:
City:
State:
Zip:
Construction Type:
 Frame Joisted Masonry
Non-Combustible Fire Resistive
Building:
 $
Rental Income:

$ With Extra Expense

Coinsurance:
 100% 90% 80%
Valuation:
 RC ACV
Cause of Loss:
 Basic Broad Special
Deductible:
 $1,000 $2,500 $5,000
Occupancy Information - Location 3
Please fully describe all occupancies
Mercantile Description:
(i.e., Gift Store, Restaurant,
Dry Cleaner, etc.)
Mercantile Square Footage:
Number of Apartments:
Number of Stories:
Total Square Footage:
Liability – Please  Select One
 

Aggregate:

$500,000

$1,000,000

$2,000,000

$ 2,000,000

Products Aggregate:

Included

Included

Included

Included

Personal & Advertising Injury:

$500,000

$1,000,000

$1,000,000

$ 2,000,000

Occurrence:

$500,000

$1,000,000

$1,000,000

$ 2,000,000

Rented Premises:

$100,000

$100,000

$100,000

$ 100,000

Medical Payments

$5,000

$5,000

$5,000

$5,000
 

 
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