Insurance Property Renewal Offer

Insurance Property Renewal Offer

Offer Date:

Applicant / Insured Information

Client Name:

Date of Birth:

Policy Details — Renewal Offer

Current Policy Number:

Homeowners    Commercial Property    Rental Dwelling    Condominium    Vacant Land

Policy Period Effective From:   to  

Coverage Summary

Select coverages included in this renewal offer and enter applicable limits where required.

Building Coverage — Limit:

Contents / Personal Property — Limit:

Personal / Premises Liability — Limit:

Loss of Rents / Business Interruption — Limit:

Extended Replacement Cost — Percentage:

Optional Endorsements

The following endorsements are offered as part of this renewal. Check to accept and describe any modification where required.

Water Backup Coverage — Additional Premium:

Earthquake Coverage — Additional Premium:

Exclusions and Limitations

This renewal offer expressly incorporates the insurer's standard exclusions. Notable exclusions and limitations applicable to this offer include, without limitation: flood and surface water, earthquake (unless endorsed), wear and tear, gradual deterioration, insect or vermin damage, intentional or criminal acts by the insured, nuclear hazard, war and civil war risks, government seizure or condemnation, and pollution or contamination except as specifically endorsed. Any coverage provided by endorsement supersedes these exclusions only to the extent explicitly stated in the endorsement language.

I acknowledge receipt of the exclusions and limitations described above and understand they form part of the renewal offer.

Mortgagee / Loss Payee

Mortgagee Interest (as applicable):

Premium Payment and Fees

Payment Terms: Unless otherwise agreed in writing, coverage under this renewal offer will become effective only upon receipt of the required premium or first installment. Failure to pay premium by the due date may result in cancellation or non-renewal in accordance with policy terms.

First Installment Due:

Bank Draft    Credit Card    Check    Other:

Declaration and Renewal Terms

This renewal offer constitutes a conditional offer of insurance and is subject to the insurer's underwriting review and verification of the information contained herein. Coverage will be bound only upon receipt of required premium and issuance of the renewed policy document. The insurer reserves the right to amend terms, adjust premiums or withdraw this offer if material misrepresentation, undisclosed changes in risk, or previously unknown adverse information is discovered prior to binding.

The insured warrants that all statements provided in connection with this renewal offer are true and complete to the best of the insured's knowledge. The insured agrees to notify the insurer in writing of any material changes to the property, occupancy, security, or exposure that occur prior to the effective date of renewal.

Acceptance Deadline:   (Offer expires if not accepted by midnight on the date specified.)

Acknowledgement

By signing below, the applicant certifies that the information provided in this renewal offer is true and complete, authorizes necessary inspections and verifications, and acknowledges that acceptance of this offer may be contingent upon verification and payment. The applicant further acknowledges receipt of the specified exclusions and understands the renewal terms set forth above.

Initials:

Attachments / Documentation

Required documentation for renewal may include proof of prior loss mitigation, photos of the insured property, copies of mortgagee instructions, or receipts for recent repairs. Attach or describe the documents submitted with this renewal offer.

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