Questions
Please carefully read the following questions and respond by entering the
appropriate number that applies. |
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1.
How many motorized vehicles licensed for road use (i.e., motorhomes, motorcycles,
cars, etc.) are owned, leased, or regularly operated by you or any member of your
household? Include company vehicles provided for your use, or for use by a member
of your household. All vehicles licensed for road use need to be counted regardless
of individual insurance. (Do not count antique/classic/ collectible vehicles covered
under a collector automobile policy.) |
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2. How many residential properties are owned or rented by
you or any member of your household? |
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3. How many watercraft, other than canoes and jetskis, waverunners
or other personal watercraft, are owned or regularly operated by you or any member
of your household? Count only those watercraft between 14 and 45 feet and with a
maximum speed less than 51 mph. Watercraft exceeding these limitations are excluded
from coverage. |
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4. How many jetskis, waverunners or other personal watercraft
are owned or regularly operated by you or any member of your household ? |
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5. What is the number of drivers ? |
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6. How many drivers are under the age of 22? |
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7. How many drivers are age 70 and over ? |
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8. How many moving violations have all drivers had within
the last 3 years ? |
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9. How many at fault accidents have all drivers had in the
last 3 years? At fault accident includes any single or multi-car accident chargeable
under the primary auto policy, any accident resulting in third party liability payment
(BI or PD), any single car accident resulting in a first party payment, and/or an
accident resulting in a citation. |
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10. How many antique, classic and/or collectible vehicles
are owned by you or any member of your household? Include private passenger vehicles
licensed for road use, more than 20 years old, driven not more than 2,500 miles
annually, owned for limited pleasure use, car shows and club events that are covered
under a collector automobile policy. A $25 charge per antique/classic/collector
vehicle applies. |
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11. Have you or any other driver
been licensed to drive in the U.S. less than one year, currently have a learner’s
permit, and/or have a non-U.S. driver’s license? |
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12. Have you or any other driver
had an arrest, citation or conviction for driving under the influence of alcohol
or drugs, reckless driving, careless driving (in Florida, careless driving with
4 or more points)? |
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13. Has any one driver had more than 3 moving
violations in the last 3 years? |
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14. Has any driver under the age of 22 or over the age of
79 had a driving incident within the last 3 years? Incident means an at fault accident
or moving violation. |
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15. Do you or any member of your household
own or lease timberland, or land which is farmed, in excess of 640 acres, for which
the liability coverage is provided by either a Homeowners, Farmowners, or Farm Comprehensive
Personal Liability Policy (including partial ownership)? |
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16. Do you or any member of your household
have an occupation of a professional entertainer or athlete, media personality,
or an appointed or elected federal or state political figure? |
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17. Have you or any member of your household
had any personal liability or personal auto bodily injury liability claims for which
payment by your insurance company exceeded $25,000 in the last 5 years? |
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18. Are any of the residential properties owned or rented
by you or any member of your household located outside the United
States of America (including its territories and possessions), Puerto Rico or Canada? |
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19. Does any other member of your household
or other person residing in your household have a Personal Umbrella policy with
RLI Insurance Company other than this policy? |
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20. Do you or any member of your household
own (including partial ownership) more than 5 residential properties rented to others
that are not occupied in whole or in part at any time by you or any member of your
household? Only 1-4 family units are eligible. Do not include residential properties
covered under a commercial general liability policy as they are excluded from coverage. |
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21. Do you and ALL members of your household
agree to maintain the MINIMUM REQUIRED LIMITS OF
LIABILITY coverage outlined below
as a condition of coverage? For those limits that currently do not apply to you
or any member of your household, you must agree to maintain those limits only if
they become applicable to you or any member of your household during
the policy period as a condition of coverage.
Click here to see Minimum Required
Limits of Liability before selecting your answer. |
Note: If you are unsure what underlying coverage limits you are carrying,
or are required to carry, we suggest contacting your local insurance agent. |
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22. Which of the following
MINIMUM REQUIRED LIMITS OF AUTOMOBILE LIABILITY (click here to view limits)
do you and ALL members of your household A B C agree to maintain as a condition
of coverage for all licensed vehicles, which are owned, leased, rented, operated,
or acquired during the policy period? You agree that this condition applies equally
to personal use of a vehicle covered under a commercial automobile liability policy.
Click here to see Minimum
Required Auto Limits of Liability before selecting your answer. |
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