SureVestor Scheer Landlord Protection Application

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Property Management Information

Contact Name(Required)

First Last

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Select the appropriate product bundle below:(Required)

Landlord Protection

Email(Required)

Title(Required)

Phone(Required)

Property Management Company Name(Required)

DBA if Any

Website(Required)

Entity Type (i.e. LLC, S Corp, Etc.)(Required)

Physical Address(Required)

Street Address Address Line 2 City State ZIP Code

How did you Hear about SureVestor?(Required)

Do you Operate in Multiple States?(Required)

YES

Please list all States you Manage Property(Required)

Acknowledgement(Required)

This product is only for professionally managed residential properties

Operational Overview

1. Desired Effective Date of coverage?(Required)

MM slash DD slash YYYY

2. Has the insured, the owner, partner or member filed bankruptcy in the past five years?(Required)

YES

3. Does the insured utilize standardized lease agreements?(Required)

YES

4. Are properties inspected at least once a year?(Required)

YES, I acknowledge our properties are inspected at least once a year

5. Do you have Vacant Properties?(Required)

(No coverage is provided when a property has been vacant for over 60 days unless the property is actively marketed for rent.)

YES, I understand that properties that are vacant over 60 days do not have coverage

6. Number of doors you estimate adding to your portfolio in the next 12 months?(Required)

7. Is your portfolio over 15% Government subsidized rentals?(Required)

YES

7a. What Percent of your portfolio is Government subsidized rentals?(Required)

8. Do you have more than 25% of your portfolio leased to Students?(Required)

YES

8a. What Percent of your portfolio is leased to Students?(Required)

9. As a professional property manager, do you follow best practices in screening tenants to ensure quality tenants are accepted. This includes, but is not limited to, income verification, background criminal checks, credit checks, etc.(Required)

YES, I acknowledge that the answer above is true and we follow best practices in screening tenants

10. What property management software do you use?

Portfolio Overview

1. How many Doors/Units do you have in your portfolio?(Required)

2. What % of your portfolio has lease terms longer than 6 Months?(Required)

3. What % of your portfolio has lease terms shorter than 6 Months?(Required)

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4. Flip/Renovate and Sell % (<6 Months)

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5. Buy/Hold Investment % (>6 Months)

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6. Other (Please Describe)

Number of Single Family Houses:(Required)

Number of Buildings with 2-20 Units:(Required)

Number of Buildings with 21+ Units:(Required)

Landlord Protection (LP)

All items below must be checked and agreed to in order for an application to be approved.

Acknowledgement - 1(Required)

You understand that if a tenant has not made payment on time (by the 5th of the month) and is behind on payment, coverage for Loss of Rent, Malicious Damage, and Eviction cost will not be covered until the tenant is up to date and paid 2 consecutive months on time (by the 5th of the month).

Acknowledgement - 2(Required)

You will not add locations to this policy where you are aware of a situation that could lead to a claim.

Acknowledgement - 3(Required)

You understand that this product must have a monthly rent amount of $1,000 or more. You also understand the maximum rental limit is $3,000 which means you can add locations with higher rent values, but the coverage will cap at $3,000.

Acknowledgement - 4(Required)

You acknowledge that as a professional property management company you will continue to use best practices in screening and placing of tenants. This insurance does not replace your duty of care for screening tenants.

There are no known losses or claims that have not already been reported to a prior insurance carrier, or to any other source from which claims might be made; There is no knowledge of facts or circumstances that relate to an occurrence, wrongful act, or incident of any type, including those caused by incremental, continuous, or progressive damage; arising from any of the insured’s operations, employees, or affiliates acting on the insured’s behalf which could reasonably result in a claim, that have not been reported to a prior insurance carrier; There is no knowledge of any requests for information by anyone, including an attorney, which might result in a claim; and There is no knowledge of any prior insurance carrier refusing coverage for, or declining to accept a report of any occurrence, incident, threat of claim, letter of intent, adverse result notice, or attorney contact.

Signature(Required)

Date

MM slash DD slash YYYY

Initial the following, indicating you have had the opportunity to review:

State Specific Guidelines
State Specific Notice - nonadmitted or Surplus Guidelines

1. I warrant that the information contained in this application is true, it becomes part of my insurance application, and is subject to the same warranties and conditions. This statement will form the basis of and be incorporated into the final policy, if issued. By initialing here, you are hereby agree to state specific guidelines listed above.(Required)

2. I understand that this quote and policy if offered is offered by a non-admitted or surplus lines insurer rated currently rated A XV by A.M. Best. By initialing here, you are hereby agreeing to the state specific guidelines listed above.(Required)

RPG Agreement
Example Policy

3. I understand that by purchasing this insurance I am joining the Professional Industry Purchasing Group, an approved Risk Purchasing Group (RPG), and understand the terms and conditions of the Membership Agreement. By initialing here, I are hereby agree to the RPG Statement linked to above.(Required)

4. I agree to and understand the terms and conditions of the policy(s). An example policy for reference can be found above.(Required)

FRAUD STATEMENT

ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR OTHER PERSON FILES AN APPLICATION FOR INSURANCE OR STATEMENT OF CLAIM CONTAINING ANY MATERIALLY FALSE INFORMATION OR CONCEALS FOR THE PURPOSE OF MISLEADING, INFORMATION CONCERNING ANY FACT MATERIAL THERETO, COMMITS A FRAUDULENT INSURANCE ACT, WHICH IS A CRIME AND SUBJECTS THE PERSON TO CRIMINAL AND CIVIL PENALTIES.

I warrant that the information contained in this application is true, it becomes part of my insurance application, and is subject to the same warranties and conditions. This statement will form the basis of and be incorporated into the final policy, if issued.

THE UNDERSIGNED EXECUTIVE OFFICER, DIRECTOR, PARTNER, OR EQUIVALENT insured OR AUTHORIZED REPRESENTATIVE DECLARES THAT THE STATEMENTS SET FORTH HEREIN ARE TRUE. THE UNDERSIGNED AGREES THAT IF THE INFORMATION SUPPLIED ON THE APPLICATION CHANGES BETWEEN THE DATE OF THE APPLICATION AND THE EFFECTIVE DATE OF THE INSURANCE, HE/SHE (UNDERSIGNED) WILL IMMEDIATELY NOTIFY THE INSURER OF SUCH CHANGES, AND THE INSURER MAY WITHDRAW OR MODIFY ANY OUTSTANDING QUOTATIONS AND/OR AUTHORIZATION OR AGREEMENT TO BIND THE INSURANCE. SIGNING OF THIS APPLICATION DOES NOT BIND THE insured TO THE INSURER TO COMPLETE THE INSURANCE.

THE insured AGREES TO NOTIFY US OF ANY MATERIAL CHANGES IN THE ANSWERS TO THE QUESTIONS ON THIS QUESTIONNAIRE WHICH MAY ARISE PRIOR TO THE EFFECTIVE DATE OF ANY POLICY ISSUED PURSUANT TO THIS QUESTIONNAIRE AND THE insured UNDERSTANDS THAT ANY OUTSTANDING QUOTATIONS MAY BE MODIFIED OR WITHDRAWN BASED UPON SUCH CHANGES AT OUR SOLE DISCRETION. COMPLETION OF THIS FORM DOES NOT BIND COVERAGE. insured's ACCEPTANCE OF THE COMPANY'S QUOTATIONS IS REQUIRED PRIOR TO BINDING COVERAGE AND POLICY ISSUANCE. ALL WRITTEN STATEMENTS AND MATERIALS FURNISHED TO THE COMPANY IN CONJUNCTION WITH THIS APPLICATION ARE HEREBY INCORPORATED BY REFERENCE INTO THIS APPLICATION AND MADE A PART OF THIS APPLICATION.

Signature(Required)

Date

MM slash DD slash YYYY