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Habitational Application

Habitational ApplicationGravity Certs2025-03-24T15:15:20-05:00

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Is Applicant a Real Estate or Property Management company?*

Property Information

Mailing Address*
Property Address*
Building Number or Name Type of Occupancy Total Number of Units Total Square Feet Actions
       
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Property Overview

Are any properties Assisted Living facilities?*
Are any properties Nursing / Convalescent homes?*
Are any properties Senior housing?*
Are any properties housing authorities?*
Do any properties include subsidized housing (including HUD and Section 8)?*
Is any dwelling location owner occupied?*
Is the building managed by a professional property management company?*

Property Details

Parking areas update type
Sidewalks update type
Is management on site?*
Is maintenance on site?*
Are inspections performed in each unit at least once annually?*
Are tenants screened prior to leasing?*
Are criminal background checks performed prior to leasing?*
Are dogs over 40 lbs. permitted?*
Are BBQ / Grills permitted on site?*
Is any balcony cooking permitted?*
Are handrails at least 42" above walking surface?*
Are tenants required to carry renters insurance with a minimum of $100,000 in general liability coverage?*
Are tenants required to name the owner and property manager as an Additional Insured on their renters insurance policy?*

Maintenance and Protection

Are all units sprinklered?*
Are common areas sprinklered?*
Smoke detectors in each unit?*
Does management advise residents of all criminal activity that has taken place on the properties?*
Is security provided?*
What type(s) of security?*

Underwriting Information

During the past three years, has any company canceled, declined or refused similar insurance to the applicant?*
Any prior losses due to mold?*
Has mold been completely remediated?*
Does risk engage in the generation of power, other than emergency back-up power, for their own use or sale to power companies?*
Does applicant have other business ventures for which coverage is not requested?*
Any new ground up construction operations anticipated within the next twelve (12) months?*
Any construction or remodeling operations for conversion to or from condominiums and/or townhouses?*
Additional Insured(s) Information
Name
Address
Interest
 
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Prior Carriers Information
Year
Carrier Name
Coverage
Premium ($)
 
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Has there been any Losses in the last five (5) years?*
Loss History
Date of Loss (mm/dd/yyyy)
Description
Amount Paid ($)
Status
 
Examples: Loss runs, Additional Insured requirements, Schedule of properties/buildings, etc.
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    Greenhill Insurance is a 5-Star rated independent insurance agency located in Dallas, Texas. We look forward to assisting you with your insurance.

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    11498 Luna Rd Suite 101
    Dallas, Texas 75234
    Phone: 972-243-3598
    Email: info@greenhillinsurance.com

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    Insurance Fraud Statement

    Fraud is a crime

    If your application contains purposefully misleading, absent, or inaccurate information, you could be charged with fraud. Your insurance carrier could potentially void your policy, or you could face civil or criminal charges or penalties.

    Any person who knowingly and with intent to defraud any insurance company or other person, files an application for insurance or statement of claim containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent act, which is a crime.

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