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StorageInsurance.com is a unique and innovative insurance agency, selling storage insurance to consumers who are interested in insuring their household goods during a move process. We provide consumers the ability to buy moving insurance online, receive an immediate confirmation, a certificate of insurance, and a receipt via email. Our program allows service providers such as moving and storage companies, mobile storage carriers, real estate agents, mortgage and insurance agents, and relocation companies or portals involved in the relocation process the opportunity to provide their customers with an added value service and earn advertising revenue while doing so.
To become an affiliate, please complete the facility application form below or
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Facility Application
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Name of location
Missing Name of location
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Do you own/Manage other facilities?
Missing own/manage other facility
Yes
No
If Yes, please complete a separate application for each location you will require insurance for.
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Name of facility owner or manager
Missing Name of facility owner or manager
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Street Address
Missing Street Address
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City
Missing city name
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County:
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State
Missing State
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Zip/Postal Code:
Missing Zip/Postal Code
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Telephone Number
Missing Telephone Number
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Fax Number
Missing Fax Number
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Email Address
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Not a valid e-mail address format
Web Address
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Month and Year company established
Missing Month and Year company established
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How long has current management operated this location
Missing How long has current management operated this location
Please explain if less than 12 months
Mobile Storage
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Do you Operate a Mobile Storage business at this facility?
Missing operate Mobile Storage from facility
Yes
No
If Yes, please answer the following
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How many containers/vaults are in your facility at any given month?
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What are the vaults made of?
Metal
Wood
Other
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How many trucks do you operate?
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How many fork lifts do you operate?
Description of Premises
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How many stories?
Missing number of stories
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Total area (or cubic capacity) of premises available for storage?
Missing total area for storage
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Any basement(s)?
Missing Any Basement answer
Yes
No
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If "Yes" is the basement(s) protected by automatic sump pump ?
Yes
No
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Construction of walls?
** Missing Indoor wall type answer
** Missing Outdoor wall type answer
Indoor:
Outdoor:
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Construction of Roof
Missing Construction of Roof answer
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Year built?
Missing Year built answer
If recently remodeled, when?
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Is the facility located within 5 miles of a flood zone?
Missing located within 5 miltes of flood zone answer
Yes
No
PROTECTION OF PREMISES
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Are sprinklers installed?
Missing sprinkler installed answer
Yes
No
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If “Yes”, please describe:
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sprinklers type?
Wet
Dry
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How often serviced?
Monthly
Quarterly
Annually
Bi Annually
Other
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Please indicate last service date:
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Is system equipped with a Sprinkler Alarm?
Yes
No
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Are security cameras installed?
Missing security camera installed answer
Yes
No
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List any other private fire protection:
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Are the premises protected by a fence?
Missing Protectd by a fence answer
Yes
No
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Is security lighting installed?
Missing sprinkler installed answer
Yes
No
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Premises protected by an Alarm System?
Missing alarm system installed answer
Yes
No
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Alarm Type?
Missing alarms type answer
Central
Local
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Name of Protective Company:
Missing Construction of Roof answer
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Any Biometric protection system?
Missing any Biometric system answer
Yes
No
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If "Yes" Describe:
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Total number of employees?:
Missing Construction of Roof answer
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If any employee(s) bonded, give details?:
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Is there a Live-in manager on premises?
Missing live-in manager answer
Yes
No
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Name trade associations in which membership is held:
Missing trade associations
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How did you hear about us?
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Online Search
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Brochure
Other: Please specify
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