Request Insurance Quote – Apartment Building Insurance Specialists

Please fill out the following form and submit it to begin working with Union America Insurance Agency. Thank you.

Please contact me about Apartment Building Insurance by: *

Number of Units: *

Number of Buildings: *

Year Built: *

Number of Pools: *

Number of Spas: *

Number of Elevators: *

City: *

Zip Code: *

Your Name: *

Phone: *

Email: *

Additional Comments:

Current Insurance Company: *

Policy Renewal Date: *

Building Coverage Amount: *

Deductible: *

Liability Limits: *

Umbrella Coverage Amount: *

Employment Dishonesty/Fidelity Bond Amount: *

Hired and Non-owned Auto Liability: *

Equipment Breakdown: *

Workers' Compensation: *

Earthquake Insurance: *

Fitness Center: *

Fire Sprinklers: *

Central Station Fire Alarm: *

Comment

Union America
Insurance Agency

A California Corporation

5776 Lindero Canyon Road, Suite D-482
Westlake Village, CA 91362
Direct: 818-292-2118 Office: 818-991-0091
License # 0K01653