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Ronn Hall Insurance & Notary Services
 
       Condo Association Quote
  

             Homeowners Association & Planned Unit Development
            Including New condo Conversions

 
  You are requesting a California Home Insurance Quote
   

  Please fill out the questions below for an accurate quote.
    

 
Personal Information
     

 First Name               Last Name
 Address               Suite / Apt
 City               State      Zip Code  
 Home Phone               Work Phone
 Best time to call   AM/PM

               E-mail

 
Property Information
Address to be insured
      

 Name of
 Your Complex		      
 Property
 Address    

 

 Zip Code  
 City   County Located    
           
 Stories   1,2,3  #of Stories      Year Built    19xx - 20xx     
 Total
 Buildings		  Total Buildings    Total Units  Total Units in Complex
 Units each
 Building		   Total Units in each building    Clubhouse  # of Clubhouse buildings  
 D&O 
 Coverage		    $ Amount    Garages  # of Garages / Carports  
 Liability   $ Amount    Pool  Yes / No                
 Deductible    $ Amount    Roof Type    
      
 

  Current
  Insurance
  Company

  

  Claims in the

  Last 5 Years

 Yes    
No
  As part of the Insurance process. You will need a 5 year Loss run from your current insurance company  
 

 Type of  Property 

   Condo Association


Current $ Amount of Insurance  

  
  PUD  Association*
 *PUD does not cover the Buildings - Common Area Liability  only
 
 Other 
 Information 
 to Include		   How were
  you referred		  
 
   By clicking the Submit button I have Reviewed the Privacy Statement and Understand that this
   is only quote information and does not constitute a binder of coverage or proof of Insurance in any form,
   or does it guarantee insurance. All Coverage's are subject to the terms and conditions contained
   in the policy and endorsements.  I agree the above information is  true and factual. Insurance  will not begin until 
   I sign and make a down payment on the insurance Application.  This is not a binder or proof of Insurance.		  


                                                                                 

     Please Read Auto Insurance Disclosure Statement below           
By clicking the submit button I agree with the statements and privacy statement and agree to with all terms and conditions.

    As part of the application process, Our Insurance Co. may collect personal information from persons other than you or other
   individuals proposed for coverage, including credit reports for certain types of policies,  loss information reports and other
   reports.
   
   We will also inspect your association for brush and condition. This information, as well as other personal or privileged information
   subsequently collected by us, may in certain circumstances be disclosed to third parties without your authorization. This is a
   condensed version of the Home Disclosure statement.. 
   
   You have a right of access a full version and correction with respect to al personal information we collect.
   If you would like more detailed information in writing about our information collection practices, please let us know    
    

Ronn Hall Insurance Services   Santee CA 92071 CA License 0723568