Unit Owner Insurance

Name:
Address:
City:
Province:
Postal Code:
Email Address:
Please confirm that this is your primary residence:
How long have you lived at your current address?:
The value of your personal contents on a replacement cost basis:
Approximate value of any betterments & improvements done to your unit:
Would you require any special limits of insurance for example jewellery, furs, etc?:
Do you currently have insurance?:
Have you been claims free for three years or more?:
What is your date of birth? You may be eligible for a discount:
Occupation of owner:
Will there be a mortgage on the condo?:
Are there any monitored security systems or 24 hour security in the building?:
Please confirm that this building is a "highrise" or is it a townhouse:
Would you operate a business from your home?:
Do you have automobile insurance? Package discounts are available for both condo and automobile:
What is the approximate age of the building:
Additional Details:

Your Protection is Our Business

Atrens-Counsel Insurance Brokers, a division of Arthur J. Gallagher Canada Limited.