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🏢 Specialty Quote Form

Lessor's Risk Insurance Quote

Commercial property owner insurance for buildings leased or rented to tenants. Complete this form and a licensed broker will respond within one business day.

✓ No obligation
✓ Multiple carriers compared
✓ Response within 1 business day
✓ 18+ years commercial experience
0% complete

📋 Required Documents from Each Tenant

The insurance carrier will require the following from each tenant before binding Lessor's Risk coverage. Please collect these before or shortly after submitting this form.

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Policy Timing

Coverage start, takeover, or expiration date

Effective / Start Date * Reason for This Date * Select one... New property / first policy Current policy expiration date Property acquisition / closing date Mid-term switch Other Current Policy Expiration Date (if renewing or switching) 🏛️ Owner / Entity InformationLegal name, EIN, and contact details Corporation / Legal Name * Legal Entity Type * Select... Individual / Sole Proprietorship Partnership LLC S-Corporation C-Corporation Trust Non-Profit Other EIN # * Year Business Started at This Location * Owner Contact Owner's Full Name * Owner's Cell Phone * Owner's Email Address * 📍 Property & Mailing Addresses Physical Property Address Street Address * City * State * Select... WashingtonOregonIdaho NevadaArkansasSouth Dakota PennsylvaniaTexasIndiana Other ZIP Code * Mailing Address (if different from above) Mailing Street Address City State ZIP 🏗️ Building DetailsConstruction, size, layout, and renovation history What Is This Building Being Used For? * Year Building Was Built * Building Construction Type *
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Owner / Entity Information

Legal name, EIN, and contact details

Owner Contact
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Property & Mailing Addresses

Physical Property Address
Mailing Address (if different from above)
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Building Details

Construction, size, layout, and renovation history

Roof Material * Select... Asphalt shingles Metal Flat / built-up (BUR) EPDM / rubber membrane TPO / PVC membrane Tile Other Number of Stories * Select... 1 story2 stories 3 stories4+ stories Is There a Basement? *
Number of Rooms / Suites (total leasable units) Total Building Sq Ft * Occupied Sq Ft (currently rented) * Sq Ft Open to Public (common areas, lobbies, etc.) Total Property Area Sq Ft (building + parking lots) * Renovation History — Most Recent Year for Each System Plumbing Updated Wiring Updated Heating Updated Roof Updated Other Buildings Do You Own Any Other Buildings Adjacent to This Property?
Renovation History — Most Recent Year for Each System
Other Buildings
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Values & Financials

Building value, revenue, and personal property

Estimated Value of the Entire Building * Annual Revenues / Gross Rental Income * Select range... Under $50,000 $50,000 – $100,000 $100,000 – $250,000 $250,000 – $500,000 $500,000 – $1,000,000 $1,000,000 – $2,500,000 Over $2,500,000 Any Personal Property Coverage Needed? (landlord-owned furniture, fixtures, or equipment in common areas)
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Safety & Security Systems

Alarm System Type *
Cameras — Inside Cameras — Outside 🏪 Tenant Information One entry per tenant — the more detail the better for underwriting Why tenant details matter: Underwriters rate Lessor's Risk policies based on what tenants do — a restaurant tenant carries very different liability than an office tenant. Please describe each tenant's business as specifically as possible. Add Another Tenant 📋 Current Insurance & Claims History Current Insurance Company Current Policy Number Any Claims in the Last 5 Years? *
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Tenant Information

One entry per tenant — the more detail the better for underwriting

Why tenant details matter: Underwriters rate Lessor's Risk policies based on what tenants do — a restaurant tenant carries very different liability than an office tenant. Please describe each tenant's business as specifically as possible.
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Current Insurance & Claims History

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Upload Documents (Optional but Recommended)

Dec pages, loss runs, tenant COIs, or lease agreements

Upload any of the following: Current declarations page · Loss run report · Tenant certificates of insurance · Lease agreements with hold harmless language. The more you provide upfront, the faster we can return an accurate quote.
Dec Pages & Loss Runs
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Policy / Loss Run Documents

PDF, JPG, PNG, XLS, or DOC — max 10 MB each

    Tenant COIs & Leases
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    Tenant Documents

    Certificates of Insurance and/or Lease Agreements

      Max 10 MB per file  ·  You can also email documents directly to CommercialInsuranceAgency@gmail.com

      Ready to Submit?

      A licensed commercial broker will review your submission and respond within one business day with Lessor's Risk coverage options for your property.

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