• 1-800-873-9442 Fax (480) 596-7859 • Apartment Liability Supplemental Application (To be completed in addition to the ACORD Application) Applicant’s Name: DESCRIPTION OF LOCATIONS Loc. No. 1 Loc. No. 2 Loc. No. 3 Loc. No. 4 Loc. No. 5 Loc. No. 6 Years owned Type of occupancy* Year built Number of Stories Number of Number of Buildings Total square feet Pool?—see Yes No Yes No Yes No Yes No Yes No Yes No section C. Manager on Yes No Yes No Yes No Yes No Yes No Yes No premises? If occupancy is mixed, please describe the occupancy. Square feet Percent of % % % % % % subsidized Percent of university or % % % % % % college students as tenants *Use alpha code listed for type of occupancy: A—Apartment Building B—Garden apartments C—Apartment hotel/timeshare DESCRIPTION OF LOCATIONS (continued) Loc. No. 1 Loc. No. 2 Loc. No. 3 Loc. No. 4 Loc. No. 5 Loc. No. 6 If student housing, is this strictly Yes No Yes No Yes No Yes No Yes No Yes No graduate or family housing?
• 1-800-873-9442 • Fax (480) 596-7859 Apartment Liability Supplemental Application (To be completed in addition to the ACORD Application) Applicant’s Name: DESCRIPTION OF LOCATIONS Loc. No. 1 Loc. No. 2 Loc. No. 3 Loc. No. 4 Loc. No. 5 Loc. No. 6 Years owned Type of occupancy* Year built Number of Stories Number of Number of Buildings Total square feet Pool?—see section C. Yes No Yes No Yes No Yes No Yes No Yes No Manager on premises? Yes No Yes No Yes No Yes No Yes No Yes No If occupancy is mixed, please describe the occupancy. Square feet Percent of subsidized % % % % % % Percent of university or college students as tenants % % % % % % *Use alpha code listed for type of occupancy: A—Apartment Building B—Garden apartments C—Apartment hotel/timeshare DESCRIPTION OF LOCATIONS (continued) Loc. No. 1 Loc. No. 2 Loc. No. 3 Loc. No. 4 Loc. No. 5 Loc. No. 6 If student housing, is this strictly graduate or family housing? Yes No Yes No Yes No Yes No Yes No Yes No