Get started with a quote for your condo association's mater policies. This form should only take about 10 minutes to complete. Don't worry if you don't have all the information. You can always use the Save and Continue later button below, and we'll email you a unique private link to pick up where you left off.

Contact Information

Date you want the policies to start?*

Your Name*

First Name Last Name

Email*

Phone*

Can we text you?*

Yes

No

Your affiliation with this condo association?*

Ex. Owner, Board Member, Property Manger, etc.

Property Address

Condo Association Name*

FEIN*

Property Address*

Street Address City State ZIP Code

How is the association managed?*

Self Managed

Property Management Company

Property management company*

Annual Gross Revenue*

Board Member Information

Board Members

To add more board members click the (+) icon the the right.

First Name

Last Name

Email

Phone

Role / Position

Upload Bylaws and CC&Rs

If you don't have this now its ok, but your agent will need these later.

Drop files here or

Max. file size: 6 MB, Max. files: 5.

Employees and Independent Contractors

Does the association have employees?*

Yes

No

Department of Labor Number*

Number of Employees*

Employee job duties*

Does the association hire independent contractors?*

Yes

No

Does the association require Proof of Insurance and require the association to be named as Additional Insured from all independent contractors?*

Yes

No

Building(s) Information

Buildings

Swimming Pools and Hot Tubs

Number of Swimming Pools

Number of Hot Tubs

Are pools & hot tubs gated and locked?*

Yes

No

Height of gate or fence*

Pools and hot tubs are secured by a*

Keypad

Lock and Key

How deep are the pool(s)?*

Coverage Options

Has association adopted 514b?*

Yes

No

Amount of Business Personal Property coverage needed?*

Examples: office furniture, pool equipment, landscaping equipment, fitness equipment, etc.

Amount of Business Interruption coverage needed?*

Does the association own any units?*

Example: Unit used as an office, or live-in property manager.

No

Yes

Number of units owned?*

Does the association need any of the following types of insurance?

Commercial Auto

Commercial Umbrella

Commercial Umbrella Limit

Losses / Claims

Any General Liability losses in the last 3 years?*

No

Yes

List General Liability Losses*

Please include, date of loss, amount paid, and description of each loss.

Any Property losses in the last 3 years?*

No

Yes

List Property Losses*

Please include, date of loss, amount paid, and description of each loss.

Upload Loss Runs

Drop files here or

Max. file size: 6 MB.

Optional Comments, Questions, Document Uploads, etc.

If there is anything else we should know, or if you have specific questions, please enter as much information as you want here.

Additional comments

Additional Documents

If you have any current policy documents, pictures, spreadsheets, etc. that you would like to share with us, please upload them here.

Drop files here or

Max. file size: 6 MB.

Wrapping Up

What is the best time to call and discuss your quote?*

Please specify the best time to call*

Hidden

Would you like a quote from a specific agent?*

How were you referred to us?

Consent*

Like most insurance agencies, Culley Insurance Group uses information from you and other sources, such as your driving and claims histories, insurance score, and other factors to calculate an accurate rate for your insurance. New or updated information may be used to calculate your renewal premium.

I Agree

All the above information is accurate and true to the best of my knowledge.*

Yes

Would you like to create a user account to manage your submissions?*

Yes, create my account

Not at this time

Username*

Create a Password*

Enter Password Confirm Password

Email

This field is for validation purposes and should be left unchanged.

Condo Association Quote

Contact Information

Property Address

Board Member Information

Employees and Independent Contractors

Building(s) Information

Swimming Pools and Hot Tubs

Additional Property

Coverage Options

Losses / Claims

Optional Comments, Questions, Document Uploads, etc.

Wrapping Up

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