COMMUNITY ASSOCIATION Information Form
All questions must be answered.
Name of Association *
Your answer
Location of Association *
Your answer
FEIN or SOC SEC # *
Applicant is: *
Contact Name *
Your answer
Contact Phone Number *
Your answer
Contact Email Address *
Your answer
Mailing Address *
Your answer
Number of Single Family Units *
Your answer
Number of Condominium / Townhouse Units *
Your answer
% Owner Occupied *
Your answer
% Tenant Occupied *
Your answer
Number of Stories *
Your answer
Does Developer retain any interest in the Association? *
Number of miles the Association maintains. *
Your answer
Does the Association have a negative fund balance? *
Does any one person/entity own multiple units? *
If "Yes", what percentage of units owned by one person/entity?
Your answer
Who is responsible for the insurnace and maintenance of the residential buildings? *
Current Policy Insurance Carrier *
Your answer
Current Policy Expiration Date *
Your answer
COVERAGES: Current Limits of Liability *
Your answer
Does the Association obtain certificates of General Liability and Worker’s Compensation coverage from all contractors annually? *
Have there been any General Liability or Property losses/claims in the past three years? (If “Yes,” please provide details or loss runs) *
Your answer
ADDITIONAL REMARKS:
Your answer
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