For our proposal, please complete the following form.
Name of owner:
Building address:
Your email address:
Replacement Cost limit for Property of Every Description:
Year built:
Type of construction:
Wood Frame
Re - inforced Concrete
Brick
Steel frame
Number of storeys:
Number of units:
Any sprinklers in:
underground parking
residential units
Type of heat
(HVAC is a heating ventilation and air condition system)
Electric
Gas Furnace
Oil Furnace
HVAC
For buildings over 20 years, details of any building or services upgrades:
Gross Annual Rental Income (if applicable):
Name of property manager (if any):
Five years claims history:
R.O.M.A. membership number (special discounts apply for R.O.M.A. members):
Condominium Owner
Home Owner
ROMS BC
Strata Plans
Tenant Packages
Townhouse Owner
Victoria Location
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