Landlords’ Student Housing Insurance General Information Named Insured: Donna & Mark Webb Broker: Youngs Insurance Brokers Inc Mailing Address: 143 Davidson Blvd Broker Address: B4 1010 Downsview Dr – Dundas, ON L9H 7N6 Burlington, ON L7T 4H8 Location Address: 970 Colborne St Broker Contact: Leigh Emery 905-33-6925 Ext. 222 London, ON N6A 4A6 Mortgagee: To follow Effective Date: June 15, 2016 Mortgagee Address: Policy Term: 1 year Other Policies with Halwell Mutual: Prior Insurance: Co-operators Expiry Date: June Has Applicant ever had insurance declined/cancelled? : No Underwriting Details Are their annual leases in place?: Y Total Number of Students: 5 Total Number of Self-Contained Units: Is the dwelling licensed for Student Housing?: How many common (shared) kitchens: 1 Is there a written Rental agreement with all tenants?: Distance to Hydrant: 150m Distance to Firehall: 0.7km Smoke detectors per floor: How many rooms are vacant at present?: 0 Are tenants required to carry insurance? : How often is the property visited?: At least once a month Does the owner live within 100km? If not, who is responsible for maintaining the property?: Insured Who is responsible for dwelling maintenance?: How often is the property inspected? At least once a month If a tenant is responsible for snow removal, is there a separate Who is responsible for snow removal? agreement in place? Property Information Type Year Private Protection Construction Details Fire Smoke Year Built: Electrical Number: Detectors: Burglar Alarm: Type: No. Of Stories: Plumbing Area in square feet: Heating Monitored/ On Site Security:
Landlords’ Student Housing Insurance General Information Named Insured: Donna & Mark Webb Broker: Youngs Insurance Brokers Inc Mailing Address: 143 Davidson Blvd Dundas, ON L9H 7N6 Broker Address: B4 – 1010 Downsview Dr Burlington, ON L7T 4H8 Location Address: 970 Colborne St London, ON N6A 4A6 Broker Contact: Leigh Emery 905-33-6925 Ext. 222 Mortgagee: To follow Effective Date: June 15, 2016 Mortgagee Address: Policy Term: 1 year Other Policies with Halwell Mutual: Prior Insurance: Co-operators Expiry Date: June Has Applicant ever had insurance declined/cancelled? : No Underwriting Details Total Number of Students: 5 Are their annual leases in place?: Y Total Number of Self-Contained Units: Is the dwelling licensed for Student Housing?: How many common (shared) kitchens: 1 Is there a written Rental agreement with all tenants?: Distance to Hydrant: 150m Distance to Firehall: 0.7km Smoke detectors per floor: How many rooms are vacant at present?: 0 Are tenants required to carry insurance? : How often is the property visited?: At least once a month Does the owner live within 100km? If not, who is responsible for maintaining the property?: Insured Who is responsible for dwelling maintenance?: How often is the property inspected? At least once a month Who is responsible for snow removal? If a tenant is responsible for snow removal, is there a separate agreement in place? Property Information Construction Details Type Year Private Protection Year Built: Electrical Fire Smoke Detectors: Number: No. Of Stories: Plumbing Burglar Alarm: Type: Area in square feet: Heating Monitored/ On Site Security:
ALandlordsStudentHousingInsurance.docx