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Valuation Report Type
*
Please choose one
New Insurance Appraisal - Replacement Cost Report
Existing Customer Appraisal Update
Wind Mitigation
Add Ons
Add NFIP Flood Replacement Costs
Add Law and Ordinance Policy Replacement Costs
Add Hardcopy
Add Mitigation (Miami Dade, Broward, Palm Beach County only)
Insured Name / Entity Legal Name
*
What is the location name we are inspecting? Examples would be "Sample Condominium Association, Inc", or "Sample Townhome Association" - This is the INSURED NAME that appears on the policy for this location. It should be a legal name registered with Sunbiz.
PROPERTY INFORMATION
Main Property Address
*
If you have a list of addresses, you will be able to attach them at the end of this form.
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Number of Buildings
Total Number of Units
Total Number of Different Style Buildings if Known
Highest Number of Stories
Access to Property
Check in with Front Desk or Office
Gated Community w/ Call-Box
Gated Community w/ Gates Open
Gated Community w/ Guard
Locked Building w/Tele-entry
Master Association Guardhouse
No Security (Good to go!)
Not Gated Or Locked
Pool / Recreation Room Locked
Site Contact Needs to Meet
Should we include amenities or other items in report?
Make your selections below:
Yes
No
Additional Items to be Included in Report
Canopies/Gazebos
Carports
Clubhouse
Clubhouse Contents
Cluster Mailboxes
Community
Community Lighting
Docks
Entry Signage / Monument Signs
EV Charging Stations
Flagpoles
Fountains
Garages
Gate House
Gates and Controls
Individual Mailboxes
Irrigation Pumps and Controls
Landscape Lighting
Mailbox Pavilion
Maintenance Building
Parking Garage - Large
Pavilions - Misc
Pergolas
Perimeter Fences & Walls
Playgrounds/Tot-Lots
Pool
Pool Decking
Pool Equipment
Pool Equipment Building/Enclosures
Pool Fencing
Pool Furniture
Pool Heater
Pool House
Pool Lighting
Pump House
Sheds
Shuffleboard
Sidewalks
Spa
Street Signs
Streets
Tennis Courts
Trash Enclosures
Additional Items Not Listed
REQUESTER INFORMATION
Name of Requester / Your Name
*
Phone Number of Requester
*
E-mail Address of Requester
*
Your Role
*
Insured - Board Member - Owner
Insurance Agent
CSR for Agent
Property Manager
Other
INSPECTION CONTACT
Do you know the inspection contact at this time?
*
Yes
No
Inspection Contact Name and Title
Inspection Contact Phone
Inspection Contact E-Mail Address
Insurance Agent
Agent Phone Number
Insurance Agent E-mail Address
Who should we send the completed report to?
Requestor
Site Contact
Insurance Agent
Other
Select All
BILLING INFORMATION
Billing Address
*
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Contract Type
Your contract will be processed 50% faster if you use our e-sign system. It is easy to use, and assign approvers. Please select paper contract if you are able to return a fully executed contract, scan it and e-mail it to our office. Photographs are not accepted.
Save time with e-sign contract
Paper contract - must be scanned
Upload Useful Files to Aid in Quote
If available please upload any lists of addresses, prior appraisals, Acord applications that may assist us in preparing your quote.
Drop files here or
Select files
Accepted file types: jpg, png, pdf, docx, xlxs, Max. file size: 2 MB, Max. files: 10.
Would you like to enter any additional information?
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Additional Notes or Comments
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