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AVIATION PROPERTY APPLICATION
AVIATION PROPERTY APPLICATION
Insured Name:
*
Insured Mailing Address:
*
Postal Code:
Start Effective Date:
*
Date Format: MM slash DD slash YYYY
End Effective Date:
*
Date Format: MM slash DD slash YYYY
GENERAL INFORMATION
Contact:
*
Phone:
*
Fax:
*
Are you presently insured?
*
Yes
No
Policy Expiry Date:
*
Prior Carrier and Policy Number:
*
Description of Operations:
*
Storage Hangar
Other
Year Business Established:
*
LOCATION INFORMATION
Site Address:
*
Are there multiple locations?
*
Yes
No
If multiple locations exist please contact us.
Hydrant protected means two hydrants, each within 504 ft of the building and all parts of the building within 500 ft of at least one hydrant. Hydrants must be owned and maintained by the municipality and in operation the entire year. The municipality must be registered as a Protected or Semi-Protected Area.
*
Hydrant Protected Area
Not Hydrant Protected Area
Year Built:
*
Number of Stories:
*
Number of Units:
*
Square Feet:
*
Sprinkler System?
*
Yes
No
I am the...
*
Tenant
Owner
Any other occupancies / tenants?
*
If yes, please identify.
Wall Construction Type:
*
Concrete
Steel Deck
Wood Joist
Metal Clad
Brick
Steel on Steel
Please select all that apply. Hold CTRL when selecting for multiple options.
Most recent update (year):
*
Roof Construction Type:
*
Concrete
Steel Deck
Wood Joist
Metal Clad
Please select all that apply. Hold CTRL when selecting for multiple options.
Most recent update (year):
*
Burgler Alarm:
*
None
Local
Centralized
Fire Alarm:
*
None
Local
Centralized
Please note the COPA program automatically includes $5,000 of contents.
Should you require more, please check the box below
I need further contents coverage
Privacy Disclosure and Consent
I am applying for insurance based on the information provided above. With respect to this application or any renewal or change to my coverage, I authorize you to collect, use and disclose information as permitted by law for the purposes necessary to assess the risk, investigate and settle claims, and detect and prevent fraud, such as credit information, driving information and claims history.
ActiveAgency Name
This field is for validation purposes and should be left unchanged.
About
Our Story
Our Community
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Claims Services
COPA
Personal
Business
Benefits
Specialty
International
Contact
Get Quote
English
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Magnes 24
Blog
Report a Claim
info@magnesgroup.com
Call 800-650-3435
