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Homeowners Association/ Townhome
Association/ Condominium Association
DDM Condominium Application
Effective date of coverage requested?
*
Date Format: MM slash DD slash YYYY
Legal name of community association
*
Physical Address
*
City
*
County
*
State
*
Zip Code
*
Federal ID #
*
Community web address
Management Firm
*
Address
*
City
*
State
*
Zip Code
*
Phone Number
*
Email
*
Property manager’s management role
*
Onsite
Portfolio
Property manager’s availability
*
Regular Business Hours
24/7
Is Management Company AAMC designated
*
Yes
No
Property manager designation
*
PCAM
LSM
CIRMS
N/A
Does Association produce a newsletter or other similar publication?
*
Yes
No
Year Association was established/incorporated
Year community was built
*
Type of community (single‐family, condo, townhouse, co‐op, duplex)
*
Number of stories
Number of elevators
Has the Association been continuously insured for all lines of coverage since its inception?
Yes
No
If not, explain reason that insurance was not maintained
Has there been more than $10,000 in losses for any line of coverage in the past three years?
Yes
No
If yes, then provide written explanation
Current Insurance Carrier
Property
Current replacement cost per building (provide statement of values)
Build out replacement cost per building if new construction (provide separate schedule if needed)
Property Insuring Agreement
Bare Walls
Original Specs
All In
Personal property value
Outdoor property value
Carport property value
Misc. property value
Total property to insure
Number of buildings
Square footage of buildings
What percent of square footage is commercial?
0%
1-5%
6-15%
16+%
How were the values determined?
Construction of buildings?
Any construction use of EI ES (Exterior Finish System)?
Yes
No
Roof construction
Roof type
Fire protection sprinklers
Yes
No
Fire alarms
Yes
No
If the community is more than 15 years old, what year were each of the following updated?
Wiring
Plumbing
Roof
HVAC
Is there aluminum wiring?
Yes
No
If yes, is it pigtailed?
Yes
No
Deductible requested
Separate wind/hail deductible?
Yes
No
If yes, what amount?
General Liability
Current number of units
Total number of units at build‐out
Number of units rented
Number of units vacant
Number of units foreclosed
Number of units time‐share
ATHLETIC AMENITIES
Athletic Amenities
N/A
Total number of sport courts (basketball/tennis/volleyball)
Number of basketball courts
Number of tennis courts
Number of volleyball courts
Gyms or fitness centers?
Yes
No
If yes, square footage
Number of saunas/steam room
Does Association sponsor any teams or events?
Yes
No
OTHER AMENITIES
Driving range
Fishing
Golf course
Boat Slips
Marinas
Other
If other, then name amenity(ies)
BUILDING SPECIFIC
Number of exits per building
Emergency lighting
Yes
No
Evacuation plan posted
Yes
No
Are clubhouses available for rent to owners
Yes
No
N/A
Non-owners?
Yes
No
N/A
Fire sprinklers or standpipes
Yes
No
COMMERCIAL
If applicable, attach commercial tenant list.
MAINTENANCE CONTRACTORS OR THIRD PARTY CONTRACTORS OF THE ASSOCIATION
Pre‐written contracts in place?
Yes
No
Is Association added as an Additional Insured under contracts?
Yes
No
Are certificates of insurance obtained?
Yes
No
If yes, are limits at least $1M Occ/$2M Agg?
Yes
No
What is average annual contract budget?
Who is responsible for supervising/managing any construction work that is performed by or on behalf of the Association?
LAKES/PONDS
Lakes/Ponds
N/A
Number of lakes or ponds
Lake public or private
Public
Private
Any lake or pond larger than 10 acres
Yes
No
Are lakes/ponds used for recreation?
Yes
No
If used for recreation, are there set rules?
Yes
No
Are warning signs posted?
Yes
No
Number of beaches
Number of docks or boat slips
Does the Association provide any recreational watercraft?
Yes
No
N/A
POOLS/SPAS
Pools/Spas
N/A
Number of pools/spas
Lifeguards on duty
Yes
No
Pool rules posted
Yes
No
Pool fenced
Yes
No
Self‐closing gates
Yes
No
Depth markers
Yes
No
Diving boards
Yes
No
Water slides
Yes
No
10 feet or less
Yes
No
Compliant with Virginia Graeme Baker Act: (pool drain anti‐suction device)
Yes
No
Pool maintenance done by qualified person or outside service
Yes
No
ROADS
Roads
N/A
Public or Private
Public
Private
If roads are private, number of miles
If roads are private, who maintains
PLAYGROUND
Playgrounds
N/A
Number of playgrounds
Protective Surface
Yes
No
N/A
SECURITY
Security
N/A
Security guard on site
Yes
No
Is security guard a contractor or employee of Association?
Contractor
Employee
Is security guard armed?
Yes
No
N/A
Directors & Officers
Directors & Officers
N/A
Any possible assessments pending?
Yes
No
If yes, then provide written explanation
Any past assessments?
Yes
No
If yes, then provide written explanation
Does developer control the board?
Yes
No
Does any one person or entity (other than developer while being held for sale) own more than 15% of units?
Yes
No
Percentage of owners with delinquent dues?
0-15%
16% or greater
Has the board taken any action against any unit owner(s) in the last 5 years?
Yes
No
If yes, then provide written explanation
Number of Association employees
Is there a positive fund balance?
Yes
No
Crime Coverage
Crime Coverage
N/A
Financial statement prepared annually
Yes
No
If yes, who prepares
Is a counter signature required on all checks?
Yes
No
N/A
Are bank accounts reconciled by someone not authorized to withdraw or deposit funds?
Yes
No
Does the property manager carry crime coverage?
Yes
No
N/A
Does the Association required greater than $100,000 employee theft limits?
Yes
No
If yes, what amount
Is employee theft limit equal to a minimum 3‐month aggregate assessment on all units plus reserve funds?
Yes
No
Are the following minimum limits acceptable?
$100,000 Employee Theft
Yes
No
If no, limit requested
$25,000 Computer Fraud
Yes
No
If no, limit requested
$25,000 Forgery or Alteration
Yes
No
If no, limit requested
$25,000 Funds Transfer Fraud
Yes
No
If no, limit requested
$25,000 Money Orders & Counterfeit Currency
Yes
No
If no, limit requested
$5,000 Theft Inside Premises
Yes
No
If no, limit requested
$5,000 Theft Outside Premises
Yes
No
If no, limit requested
Workers Compensation
Workers Compensation
N/A
Limits Requested
$500,000
$1,000,000
Umbrella
Umbrella
N/A
Limit requested
Does this community currently carry an umbrella policy?
Yes
No
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Phone: (972) 864-0400 | (888) 895-2300
Address: 3200 Broadway Blvd. Suite 400 | Garland, TX 75043
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