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Condo Gold
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Condo Gold
Name:
Address:
City:
Province:
Postal Code:
Is the unit currently occupied and/or will it be going under renovations?:
Email Address:
Please confirm that this is your primary residence:
Yes
No
The value of your personal contents on a replacement cost basis:
Approximate value of any betterments & improvements done to your unit:
Would you require any special limits of insurance for example jewellery, furs, etc?:
Do you currently have insurance?:
Yes
No
Have you been claims free for three years or more?:
Yes
No
What is your date of birth? You may be eligible for a discount:
Occupation of owner:
Will there be a mortgage on the condo?:
Yes
No
Are there any monitored security systems or 24 hour security in the building?:
Yes
No
Please confirm that this building is a "highrise" or is it a townhouse:
Highrise
Townhouse
What is your Condo Corporation number?:
Would you operate a business from your home?:
Yes
No
Do you have automobile insurance? Package discounts are available for both condo and automobile:
Yes
No
What is the approximate age of the building:
Additional Details:
X
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Condo Gold is a tradename of Arthur J. Gallagher Canada Limited.