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HABITATIONAL FACILITY
QUOTE
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SWIMMING POOL(S) Loc. #s
Diving Boards?
Yes
No If yes, height:
Slides?
Yes
No
Underwater lighting?
Yes
No
Steps into shallow end with handrails?
Yes
No
Ladder at deep end with handrails?
Yes
No
1. Is the pool area completely surrounded
by building walls or fence?
Yes
No
If yes, height of fence:
2. Are gates or doors opening into the pool
area equipped with a self-closing and
self-latching device?
Yes
No
3. Are the depth markings clearly shown?
Yes
No
4. Are warning signs and rules posted and
clearly visible?
Yes
No Provide wording or photo.
5. Is rescue equipment, including a ring
buoy and 12-foot pole or shepherd's hook,
available poolside?
Yes
No
6. Is pool maintained by applicant or
outside contractor?
Applicant
Outside Contractor
If outside contractor, are certificates
of insurance on file?
Yes
No
7. Are lifeguards provided by applicant or
by outside pool management company?
Applicant
Pool Management Co.
If outside, are certificates of
insurance on file?
Yes
No
MAINTENANCE
1. Is
janitorial, lawn care, or snow removal,
performed by outside contractor or
applicant's employee?
Contractor
Employee
If outside contractor, are certificates
on file?
Yes
No
Is the applicant named as additional
insured on their policy?
Yes
No
2. Who is responsible for upkeep of
sidewalks and driveways?
FIRE PROTECTION
1.
Sprinklered?
Yes
No All units?
Yes
No Common areas only?
Yes
No
2. Smoke detectors in each unit?
Yes
No
Hardwire OR
Battery How often checked?
3. Fire extinguishers?
Yes
No In common areas?
Yes
No In each unit?
Yes
No
4. # of units per fire division?
SECURITY
- Completion of Section F.
SECURITY not required for dwelling or
boarding/rooming house occupancies.
Is security provided?
Yes
No
If yes, what type?
Patrol
Gated Access
Alarm Systems in each Unit
1. If patrol, please answer the
following questions:
a.
Armed
Unarmed
b. Are the guards employees of the
management or independent contractors?
Employees
Independent contractors
If independent contractors, are
certificates of insurance required?
Yes
No
Is the applicant named as
additional insured on their policy?
Yes
No
c. Is the security 24 hours?
Yes
No
d. What are the guards responsible for?
Residents' safety
Complex and amenities
2. If gated, please answer the
following questions:
a. Is the entire apartment complex
gated?
Yes
No
b. How is access obtained?
Guard at gate
Card
Security code
c. Who is given access?
d. If the gate is card or security code
access, how often is maintenance done on the
gate?
e. What procedure is in place if gate
is not working?
3. If alarm systems are provided,
please provide answers to the following
questions:
a. Are alarms systems in every
unit?
Yes
No
b. Are the residents shown how to
operate the alarm systems?
Yes
No
c. Who monitors the alarms?
4. Do the residents' doors or
windows contain any of the following?
Viewing windows in front doors
Lock pins for window and sliding glass
doors
Window locks/bars
Dead bolts
5. Master keys and locks:
a. How does management handle
the monitoring of master keys?
b. How are locks handled upon vacancy
of residents?
Re-keyed
Changed completely
6. Criminal incidents:
a. Does management advise
residents of all criminal activity that has
taken place upon the properties?
Yes
No
How is this done?
b. Is this information provided to
prospective renters if requested?
Yes
No
Are these
available to nonresidents for a fee?
Yes
No Annual receipts?
During the
past three years, has any company canceled,
declined, or refused similar insurance to
the applicant?
Yes
No If yes, explain:
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