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E-mail Questions to:
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Toll-Free: 1-866-619-2253
Phone: 1-905-629-2253
Fax: 1-905-629-2200

Contact Address:
2560 Matheson Blvd E, Suite#400 Mississauga, ON,
L4W 4Y9 CANADA

 


Owner Tenant
Dwelling Information
Type of Building: Apartment Condominium
 
Occupancy Type Description:
(describe entities & and number of units, such as "4 unit apartment", "12 Unit Condminium, or "2 Offices and Barber Shop", etc.)
 
Type foundation: Slab
Crawlspace over slab
Pier & Post
Other (list in remarks)
 
Type finished basement, if any: None Full
25% 50% 75%
 
Type Roof: Shingle Wood Shake
Tar/Gravel Spanish Tile
Metal Other
 
Type of Siding Brick   Vinyl
Wood   Aluminum
 
Number of stories: One Two
Three 4 or more
 
# of feet to nearest
fire hydrant:
# of miles to nearest
fire station:
 
Currently Insured? Yes No
Name of Carrier & how long insured?
 
Prior Claims? Yes No
Describe claims in detail:
 
Plumbing type: Copper Galvanized
Mixed (Copper/Galvanized)
   
Coverages:
 
Building Cov. $
Contents $

   
Liability Cov. $
Deductible $
($250, $500, $1,000, etc.)
   
 

Other Coverage/Remarks
(describe any extra coverages needed such as business interruption, robbery, computers, etc.)


 

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Able Insurance Brokers Ltd.| 2560 Matheson Blvd East, Suite#400 | Mississauga,ON L4W 4Y9 | Phone: 1-905.629.2253 | Fax: 1-905.629.2200
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