TSSA Storage Programs

EXCLUSIVE SELF- STORAGE PROGRAM

COVERAGES AVAILABLE
Blanket Building Limits – Property Coverage
Includes Blanket coverage for building limits per location

Commercial General Liability Coverage
Limits Include:
$ 1,000,000 Occurrence/$2,000,000 Aggregate
$ 2,000,000 Occurrence/$4,000,000 Aggregate

Sales and Disposal Liability
Limits Include:
$10,000 - $ 1,000,000

Customers Goods Legal Liability
Limit Options Include:
$25,000 - $1,000,000

Pollutant Clean-Up and Removal
Limit Options Include:
$25,000 Limit With options up to $100,000

Hired and Non-Owned Auto
Limit Option Include:
$1,000,000

Employees Personal Liability Coverage
Limit Options Include:
$300,000 - $1,000,000

Employee Benefits Liability
Limit Options Include:
$300,000 - $1,000,000

Employment Practices Liability
Limits Include:
$25,000
Extended Reporting Period Coverage for Employment Practices Liability is Available

ADDITIONAL ENHANCEMENT (CUSTOM LIMITS AVAILABLE)

Employee’s Property
Fine Arts Coverage
Valuable Papers and Records
Accounts Receivable
Computer Coverage
Limited Pollutant Removal:
Limits Availabe up to:
$50,000 Occurrence/100,000 Aggregate
System Protection
Identity Recovery Coverage
Extended Business Income Coverage:
Policy will include (15) months of Business Income- Actual Loss Sustained. Extended Business Income is available: Length of Time Extension: 3 months (for total of 18 months), 9 months (for total of 24 months)
Data Compromise Coverage

SELF-STORAGE SUPPLEMENTAL APPLICATION

Please complete this form and also provide the following:

– Statement of Values

– 5 Years of Loss History

COMPANY DETAILS

Named Insured:

DBA:

Mailing Address:

City:

State:

ZIP Code:

Contact Name:

Phone:

Fax:

Email:

Website:

Effective Date:

Current Carrier:

Expiring Premium:

COVERAGE

SECTION I - BUSINESS PROPERTY (Blanket Building & BPP Coverage at Each Location)

Business Property – Buildings:

Business Personal Property:

Loss of Rental Income & Extra Expense:

Money & Securities:

SECTION II – BUSINESS LIABILITY

Comprehensive Business Liability

Liability and Medical Limit:

Medical Expenses (includes $10,000 per person):

Hired Non-owned Auto (included at no charge):

Customer's Goods-Legal Liability:

Sales & Disposal (includes $10,000):

Deductible (Each Claim Limit):

SELF STORAGE PREMISE PROTECTION

	LOCATION #	LOCATION #	LOCATION #	LOCATION #	LOCATION #	LOCATION #
Number of units:	TotalOpen Lot	TotalOpen Lot	TotalOpen Lot	TotalOpen Lot	TotalOpen Lot	TotalOpen Lot
Self-storage buildings:
Year constructed:
Distance between buildings:
Total area (gross square feet):
Number of stories:
Construction material:
Exterior walls:
Joisting:
Interior partitions:
Roof:
If metal, state gauge thickness:
And wind uplift classification: (Ordinary, Semi-Wind Resistive,Wind Resistive)
Amount of Gap Between Ceiling and Partition
Climate controlled storage?	YesNo	YesNo	YesNo	YesNo	YesNo	YesNo
Operational fire sprinkler system?	YesNo	YesNo	YesNo	YesNo	YesNo	YesNo
Occupancy Rate

BUILDING UPDATES / RENOVATIONS (updates completed within past 15 years)

Details

Date Completed

Roof

Plumbing system

Heating system

Electrical system

EMPLOYEE DISHONESTY

Are background checks performed on all prospective employees?

YesNo

Other than the owners, who has checking signing authority?

If No, are all sites visited on a regular basis with an inspection of the books performed?

YesNo

Frequency of cash/accounts audits (i.e. monthly, quarterly)?

Are audits done by someone other than employees responsible for daily accounting?

YesNo

If Yes, by whom?

Is the owner actively involved in the business?

YesNo

If Yes, by whom?

SALE AND DISPOSAL LEGAL LIABILITY

Are state lien laws followed when reclaiming spaces?

What limitations are placed on the manager’s authority?

Number of sales of individual tenant’s property occurring within the past 12 months?

What was the total recovered from these sales?

List any small claims or Superior Court actions for the past 3 years by tenants claiming damage for sale or disposal of their personal property in the Loss History section.

Please forward the following documentation:

Copy of insured’s written delinquency procedures, from day 1 through sale date.
Copy of all letters and notices mailed to tenants.
Copy of the wording used for newspaper advertisement of the sale.

LOSS HISTORY

Details BelowLoss Runs AttachedNo Losses
Date of Loss	Description	Amount	Open/Closed

Applicant's Full Name

Position

Applicant’s Signature

Date

EXCLUSIVE SELF- STORAGE PROGRAM

SELF-STORAGE SUPPLEMENTAL APPLICATION

COMPANY DETAILS

COVERAGE

SECTION II – BUSINESS LIABILITY

OPTIONAL COVERAGES

SELF-STORAGE OPERATIONS

SELF STORAGE PREMISE PROTECTION

DESCRIPTION OF STORAGE FACILITY

BUILDING UPDATES / RENOVATIONS (updates completed within past 15 years)

EMPLOYEE DISHONESTY

SALE AND DISPOSAL LEGAL LIABILITY

LOSS HISTORY