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                                       What It Means to Be a CIC - The Certified Insurance Counselor (CIC) designation is a distinction that represents a commitment to professional excellence and leadership within the insurance industry. The 28,000+ designated CICs across the country are recognized as among the best and most knowledgeable insurance practitioners in the nation. The formal training required to become a CIC includes 100 classroom hours and the successful completion of five comprehensive exams, with an annual update required to ensure that CICs maintain their edge as the most capable and current insurance practitioners in the industry.                                                                                

We've Made Shopping For Self Storage Facility Owners Insurance Fast, Easy, and Available Online

To Get A Quick Quote With Several Leading Property & Casualty Insurance Companines Just Complete The Below Short Online Information Form

  Safeco Insurance

 

Self-Storage Facility Owners Insurance Application
Your Company Information
 
Name Of Contact Person - Title
Best Time To Contract
Preferred Contact Method EmailFax Telephone
Named Insured - Full of Business and/or Owners Name(s) which should appear on policy.
Street Address
Mailing Address
City
State
Zip Code
Telephone:
Fax:
E-mail address:
Website address:
Named Insured Operations Is : IndividualPartnershipCorporationLLC LP Other
If answered Other to previous question, please explain:
Federal Employers Tax Identification# FEIN
Number Of Full Time Employees
Number Of Part Time Employees
Gross Annual Payroll
What Is Your Firm's Approx. Gross Annual Receipts' From All Sources ?
 

Mortgagee Information
Mortgagee(s) Name and Address
Loan Number(s):
Additional Insured Information
Additional Insured Name and Address (N/A if not applicable)
Their Interest: (N/A if not applicable)
Policy Information
Requested Effective Date:
Current Insuror
Effective Date (MM/DD/YYYY)
Expiration Date (MM/DD/YYYY)
Current Annual Premium:$
Involvement With Industry
Member of Storage Owners Association? YesNo
Name of Association(s):
Number of Years in Self-Storage Industry?
Attend Industry Loss Prevention Seminars? YesNo
Storage Facility Information
Name and Address of Main Storage Facility
County:
Telephone:
Fax:
Number of Storage Facilities You Operate:
DESCRIPTION OF EACH STORAGE FACILITY BUILDING
Total number of buildings on premises:
Non-storage buildings
Storage Buildings


Building Number 1:
Number of units
Year constructed
Course of construction- Please Indicate Completed or Currently Under Construction
Distance between buildings
Square footage of each building
Number of stories
Construction material:
Exterior walls
Joist material
Roof type
If Roof Type is metal, state gauge
Construction material of interior partition
Amount of gap between ceiling and partition
Climate controlled storage? YesNo

 
Building Number 2:
Number of units
Year constructed
Course of construction- Please Indicate Completed or Currently Under Construction
Distance between buildings
Square footage of each building
Number of stories
Construction material:
Exterior walls
Joist material
Roof type
If Roof Type is metal, state gauge
Construction material of interior partition
Amount of gap between ceiling and partition
Climate controlled storage? YesNo


Building Number 3:
Number of units
Year constructed
Course of construction- Please Indicate Completed or Currently Under Construction
Square footage of each building
Number of stories
Construction material:
Exterior walls
Roof type
If Roof Type is metal, state gauge
Construction material of interior partition
Amount of gap between ceiling and partition
Climate controlled storage? YesNo
 

Building Number 4:

  
Number of units
Year constructed
Course of construction- Please Indicate Completed or Currently Under Construction
Distance between buildings
Square footage of each building
Number of stories
Construction material:
Exterior walls
Joist material
Roof type
If Roof Type is metal, state gauge
Construction material of interior partition
Amount of gap between ceiling and partition
Climate controlled storage? YesNo

 
Building Number 5:
Number of units
Year constructed
Course of construction- Please Indicate Completed or Currently Under Construction
Distance between buildings
Square footage of each building
Number of stories
Construction material:
Exterior walls
Joist material
Roof type
If Roof Type is metal, state gauge
Construction material of interior partition
Amount of gap between ceiling and partition
Climate controlled storage? YesNo
 

Does Your Firm Operate More Than One Location or Have More Than 5 Storage Buildings At It's Main Office Facilities ? YesNo

If "Yes" a member of our agencies commercial lines department will be contracting you to obtain the additional information required to provide you with a quick quote.

 
Claims History
Has Your Firm Had Any Prior Losses? YesNo
If "Yes" - Provide Number Of Losses
If Yes, provide date of each losses
Please State Amount of Each Loss: $
If Any Losses Have Been Incurred In Past 5 Years Please Provide Loss Runs From Prior Insurance Carriers

COVERAGES REQUESTED

SECTION I - BUSINESS PROPERTY
COVERAGE AND LIMITS
a. Business Property - Buildings (Replacement Cost Basis) $
Business Personal Property (Replacement Cost Basis) $
Deductible options
If Other, then please enter an option amount: $
b. Loss of Rental Income
 Extra Expense
c. Employee Dishonesty - Named Insured's Employees Only ($250 deductible) Each Occurrence:
 
SECTION II - BUSINESS LIABILITY
d. Comprehensive Business Liability - Each Occurrence:
e. Hired Auto & Non-Owner Auto Liability - Each Occurrence:
f. Premises Medical Payments (each person)
If Other was selected please enter an amount per person
g. Customer's Goods Legal Liability - Each Occurrence:
If Other was selected, please enter an amount for each occurrence
h. Sale & Disposal Legal Liability ($1,000 deductible applies) Annual Aggregate: $10,000 (included)
OPTIONAL COVERAGES
Limited Pollutant Removal:
Employee Resident Manager's Personal Liability:
Umbrella Quote:
Vacant land to be used for future development: YesNo
OPTIONAL INCREASED LIMITS OF COVERAGE FOR:
Outdoor Signs ($5,000 Included): $
Employee's Personal Property ($5,000 Included): $
 

Underwriting Information

PREMISES PROTECTION
Is rental office on site YesNo
Distance to beach ( if near shoreline )
Distance to fire hydrant (approx. feet)
Distance to Fire Dept. ( approx. miles)
Name of Fire Dept.
Sprinkler systems operational YesNo
Fire alarms - central station YesNo
Burglar alarms - central station YesNo
Positive ID when lease is signed YesNo
Originally designed for self-storage YesNo
Resident manager YesNo
Daily lock checks YesNo
Are premises patrolled YesNo
Armed security guard YesNo
Security guard dog YesNo
Fully lighted at night YesNo
Fully fenced or enclosed YesNo
Keypad entry YesNo
Sliding gate YesNo
TV monitors YesNo
Has Property suffered flood or surface water accumulation YesNo
NON-STORAGE ACTIVITIES
Any Tenants conducting non-storage operations YesNo
Are duplicate keys to rented storage units retained YesNo
Does Insured conduct non-storage operations YesNo
Number of open lots for boat/RV storage
 
Producers Information

 
Producer's Name and Address
Telephone:
Fax:
E-mail: