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Homeowners Questionnaire
Have your producers use this questionnaire from Jack Fries to garner needed information from Homeowners prospects: HOMEOWNERS INSURANCE QUESTIONNAIRE Producer: ______________________________________ Date: ___________________ INSURED Name _____________________________ Phone __________________ Address _______________________________________________________ City ______________________ State _____ Zip ____________________ Occupation ____________________________________________________ PRESENT HOME Homeowners Carrier _________________ Exp. Date_____________ LIMITS Dwelling _________________ Year Built _____________ Brick or Frame Additional Structures _______________ Liab. ___________ Contents _________________________ Medical ________ Loss of Use _______________________ Deductible ______ Prior Claims _______________________ Premium _______ Credits - Alarm, etc.________________________________ Guaranteed Replacement: Home Contents Additions/Alterations 'All Risk' Contents Theft Ext. Sewer Backup Subsidence Earthquake Extended Liability Scheduled Items Limits: Jewelry Furs Fine Arts (Breakage) Silver Coins Stamps Guns Boats Computers ______ Photo Equipment COMMENTS Are your autos insured with the same company? ____________ Expiration Date: _______________ RECOMMENDED Dwelling _________ Company ____________________ ­ LIMITS Liability _________ Deductible ______________ Premium ___________ Guaranteed Replacement Home ____ Contents 'All Risk' Contents Sewer Backup ____ Other REPLACEMENT Number of families Year Built _________ Sq. Ft _________ COMPUTATION Brick Frame Garage Cars Brick Frame Attached Balcony Porch Deck Sq. Ft. # of Fireplaces ____ # of Chimneys Inside Outside # of Baths Full 1/2 Basement? Finished? Central Air? ___ Wiring: -- Year Update: _________ Heating Construction Type I, II, III, IV Plumbing: -- Year Update: _______ Roof: -- Year Update: ___________ Built-ins: Stove Refrigerator Dishwasher Washer Dryer Sauna Hot Tub Replacement value _______ Market Value __________

Dwelling Replacement Cost Form
DWELLING REPLACEMENT COST FORM   NAME: LOCATION ADDRESS: DATE: Table A Enter 1 for each unit (ie. three bedrooms=3) listed below: Living Room Unfinished Attic Bedrooms Unfinished Basement (see note below) Bathrooms (3 or more fixtures) Stone exterior Walls Kitchen Clay Tile or Slate Roof Dining Room Two-Car Attached or Built-in Garage Family or Recreation Room Three-Car Carport Den, Study, Office, or Misc. Rooms Den, Study, Office, or Misc. Rooms (Over 300 Sq. Ft.) Table B Enter 1 for each unit listed below: Dinette or Breakfast Nook Enclosed Porch Half Baths (2 or less fixtures) One-Car Attached or Built-in Garage Laundry Room with adjacent Half Bath One- or Two-Car Carport Brick Exterior Walls Large Rooms (200 to 300 Sq. Ft.) Central Air Conditioning Table C Enter 1 for each unit listed below: Foyer or Entrance Hall Large Deck (over 300 Sq. Ft.) Walk-in Closet or Dressing Room Concrete Tile Roof Work, Storage, or Laundry Room Fireplace Breezeway or Open Porch Additional Cars per Garage (over two) Note: For Finished & Partially Finished Basements: 1. Finished basements: count only the finished rooms. 2. Partially finished basements: if the total unit count of the finished area in the basement exceeds Additional Information: Year House Built Square Footage: Year of last updating on: Roof Wiring Plumbing Heating Heat Type: Woodstove (if yes, is it used often?) Large Detached Building Smoke Alarm Deadbolt Locks Non-Smoker Central Station Reporting Burglar Alarm Police Station Reporting Burglar Alarm Central Station Reporting Fire Alarm Fire Department Reporting Fire Alarm Automatic Sprinkler System Central Vacuum System Domestic Solar Hot Water Heater Hot Tub Sauna Balconies (if yes, approximate size) Decks (if yes, approximate size) Swimming Pool (if yes, is it fenced in?) Electronic Garage Door Opener (how many) Wet Bar Air Conditioning (Central or through the wall unit(s) - how many) Skylights (if yes, how many) Trash Compactor Whole House Fan Countertop Range Intercom System Garbage Disposal&l

We have this program and many more tailored for swimming pool contractors. Writing this class has never been easier. With access to up to five carriers, Gladius Insurance Services, LLC can help you find the right fit for your swimming pool contractor clients’ needs. Guardian Program Overview from Gladius Insurance Services Gladius Insurance Services, LLC offers a specialized Contractors General Liability program designed for smaller general contractors and artisan trades, including swimming pool contractors. Whether your client is focused on residential or commercial pool installations, this program offers broad eligibility, fast turnarounds, and competitive pricing through a strong non-admitted market. Ideal Accounts and Appetite This program is a great fit for artisan contractors and general contractors involved in construction, remodeling, or specialty trades. Key eligible classes include: Swimming pool contractors (commercial and residential) Roofers, framers, and foundation specialists Plumbers, sewer and water main contractors Paper contractors and other artisan trades You might have a client who builds custom residential pools or manages large commercial pool installations—this program is designed to accommodate a wide range of exposures and business models, including accounts with 100% subcontracted work. Coverage Highlights and Advantages A.M. Best A- (Excellent) rated carrier 100% subcontracted work allowed Rating based on gross receipts—ideal for high payroll operations Fast 24-hour quote turnaround Minimum earned premium of 15% No limitations on subcontracted work New ventures and gaps in coverage considered Optional coverages include Blanket Additional Insureds, Waiver of Subrogation, Per Project Aggregate, Completed Operations (commercial only), and Stop Gap endorsements Underwriting Notes and Minimum Premiums Artisan contractors: Minimum premium of $750 for most classes General contractors: Minimum premium of $1,500 Roofers: Minimum premium of $3,000 Maximum limits available: $1M/$2M/$2M Territories and Availability This is a non-admitted program written through United Specialty Insurance Company. Coverage is available in most states, excluding NY, NV, CO, LA, ME, WI, VA, WV, DE, RI, MA, and HI. States where the program is available include CA, TX, FL, AZ, IL, GA, WA, and many others. Why Work With Gladius Insurance Services? As an Excess & Surplus Lines Broker with access to multiple carriers, Gladius Insurance Services offers flexibility, responsiveness, and a deep understanding of contractor risks. Our team is dedicated to helping agents place tough-to-write classes like swimming pool contractors quickly and efficiently. We understand the nuances of artisan and general contracting exposures and can structure coverage that aligns with your client’s operations. Frequently Asked Questions What types of accounts are a good fit for this program?This program is ideal for swimming pool contractors, general contractors, and artisan trades involved in commercial or residential work, especially those that subcontract out a large portion of their operations. Is this program available for new ventures?Yes, new ventures and accounts with prior coverage gaps are considered under this program. What are the minimum premiums for this program?Minimum premiums start at $750 for most artisan contractors, $1,500 for general contractors, and $3,000 for roofers. What is the turnaround time for quotes?Gladius Insurance Services typically provides quotes within 24 hours of receiving a complete submission. Can this program accommodate 100% subcontracted work?Yes, the program allows for 100% subcontracted operations with no limitations. Need help placing an account? Connect with a market specialist.