Rental Insurance Application Name* First Last Email* Phone*Is the rebuild value + the contents value of your property over $2,000,000?*YesNoBuilding Value --- For a house this would be the total cost to rebuild the structure only, land is not included. For a condo. This is typically “drywall in”, as the building is not owned by you. Content Value --- This would be the cost to replace contents: Furniture, electronics, dishes, linens, etc. Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code If applicable, what is the name, or DBA, of your vacation rental?DBA Name: Many owners have a name for their rental, such as Cozy Cottage, Sunset View or Whispering Pines; especially if they own more than one vacation rental. If this is the case, please include the name here so Proper can better identify your property. Part of a Condominium Association?*NoYesCondominium: Check this box if this location is a condominium where the condominium association owns the building. Is this rental also your primary residence?*NoYesPrimary Residence: Do you stay at this address for more than 6 months a year? If so, choose “Yes” List of adult resident(s) Do you own a dock or pier at this location?*NoYesDock or pier: This would be a dock or pier that you own or control access to. Not a common dock as found in associations. Does this offer a bunk bed or loft accessed by a ladder?*NoYesLadder Access: Answer “Yes” if your rental offers a loft area, accessible via a ladder, and/or offers a bunk bed. Answer “No” if your rental does not offer a loft area accessible by ladder, and/or a bunk bed. Does this rental have an event planned or has it historically held events at this space?*NoYesEvent: weddings, reunions, seminars, etc.Does this rental have an active NoiseAware decibel monitoring system?*NoYesNoise Monitoring: A noise/decibel monitoring system would be a device that alerts the owner if noise/decibels have reached a certain limit. Allowing the owner to manage a potential hazard in the making. I.e. the NoiseAware system. Does this rental have an active automatic water shut-off valve?*NoYesWater Shut-off: An automatic water shut-off valve is a system that notifies the property owner of irregularities in water, such as pressure, and automatically shuts the water off. Has there been a covered property claim at this location in the last three years?*NoYesProperty Claim: Damage due to fire, water damage, or any weather related damage.Building TypeSingle FamilyDuplexTownhomeMulti-plexFlat - Condo or ApartmentIf none of the above apply, please provide a descriptionConstruction Type (select all that apply)* Frame Brick Reinforced Concrete Number of Bedrooms Advertised for Guests*Number of Bedrooms: How many bedrooms do you advertise on your online listing. *A loft would be considered a bedroom for rent. Number of Stories*Do you have a central station fire alarm system?*NoYesDoes this building have overhead sprinklers?*NoYesEstimated Square FootageRoof MaterialAsphalt ShinglesWood ShakeSlate ShinglesMetalTileMembrane Roofing MaterialUnknownYear BuiltHas this building been updated?NoYesWhat year were your plumbing fixtures last updated?What year was your wiring last updated?What year was your roof material last updated?What year was your heating fixture last updated?Building Rebuild Value*Building Value: For a house this would be the total cost to rebuild the structure only, land is not included. For a condo. This is typically “drywall in”, as the building is not owned by you. Contents Value*Content Value: This would be the cost to replace contents: Furniture, electronics, dishes, linens, etc. Loss of Income Value*Loss of Income Value: What is the estimated Annual income you make from renting out this property?