West Coast Global InsuranceServices

www.InsureMeWC.com

West Coast Global InsuranceGLOBAL LIABILITY INSURANCE for VACATION RENTAL PROPERTIES in MEXICO.

West Coast Global Insurance Services

Ca.Lic. #0E50745

USA - (818) 788-5353

Mex - 01 (800) 099 0614

GLOBAL LIABILITY INSURANCE for VACATION RENTAL PROPERTIES in MEXICO




Please Provide Your Role in this Property?

Yellow Fields are Required*

OWNER - (DETAILS)

OWNER - (ADDRESS IN THE UNITED STATES / CANADA)

OWNER - (CONTACT DETAILS)

If you received this questionnaire from an eMail sent by our office, please be sure to enter the same eMail address. This will assure your questionnaire submission is properly linked to your client profile.

Do you have a Mexico Phone Number? Yes No

WHATS APP? : YES NO

WHO IS THE LEGAL OWNER OF THIS MEXICO PROPERTY?

IS THE LEGAL OWNER OF THIS MEXICO PROPERTY THE SAME AS OWNER DETAILS? :
(This is the Legal Name Listed on your Fideicomiso (If Applicable)

YES  NO

IS THE LEGAL OWNER OF THIS MEXICO PROPERTY OWNED BY A CORPORATION/LLC? :
(This is the Legal Name Listed on your Fideicomiso (If Applicable)

YES  No

DO YOU WANT TO ADD A LIENHOLDER? YES NO

DO YOU WANT TO ADD ANY ADDITIONAL INSURED'S? YES NO


Yellow Fields are Required*

PROPERTY DETAILS

HOME
CONDOMINIUM
TOWNHOME
OTHER

Property Address in Mexico

Yellow Fields are Required*

UNDERWRITING

 

DO YOU HAVE INSURANCE PROTECTION ON THIS MEXICO PROPERTY?   YES   NO

1. WHAT YEAR DID YOU TAKE POSSESSION OF YOUR PROPERTY IN MEXICO?

2. HOW MANY DAYS A YEAR DO YOU RENT YOUR PROPERTY IN MEXICO TO STRANGERS?

3. DOES EACH RENTER SIGN A RENTAL AGREEMENT PRIOR TO OCCUPYING THE PROPERTY IN MEXICO?

YES NO

COVERAGE SELECTION

$500,000 USD.
$1,000,000 USD.
$2,000,000 USD.

JURISDICTION SELECTION

MEXICAN Jurisdiction Only (SOLO MEXICO)
WORLDWIDE Jurisdiction (MUNDIAL)

A FEW MORE QUESTIONS TO UNDERSTAND THE SCOPE OF YOUR EXPSOURE TO RISK IN MEXICO?

Mexico Auto, Truck, RV, Motorcycle, UTV, ATV Insurance (U.S., Canadian & Mexico Registered) - I own or plan on purchasing a vehicle that will be in the republic of Mexico and would like to know more about Mexico auto insurance & liability protection in Mexico.

YES NO  

Mexico &/or Global Travel Medical Insurance (Accident & Illness) – I am interested in protecting myself/family in the event of an accident or illness while outside my/our home country of residence. (Emergency Air Evacuation Included)

YES NO

Expat Major Medical Insurance – I spend or live a minimum of 6 months of the year in Mexico/Globally and I would like to see options for Expat Major Medical Insurance. (Global Health Insurance with No Borders – U.S. Coverage Included)

YES NO

Global Life Insurance – I am interested in a Life Insurance policy to safe guard my family or business partner/s to pay off any outstanding loans that are on my property. (A medical exam may not be required – Easy Underwriting)

YES NO

Mexico/Global Boat & Yacht Insurance - I own or plan on purchasing a boat/yacht and would like to know more about watercraft insurance & liability protection in Mexico. (California, Mexico & Global Navigational Limits Available – No Hurricane Season Black Out Dates)

YES NO

ADDITIONAL DETAILS FOR WEST COAST GLOBAL INSURANCE SERVICES

Please Provide Any Additional Details About This Property That You Would Like West Coast Global Insurance Services Should Be Aware Of?

How Did You Hear About West Coast Global Insurance Services?



DIGITAL SIGNATURE

I acknowledge that West Coast Real Estate & Insurance, Inc., doing business as West Coast Global Insurance Services, does not guarantee any coverages and has presented this informal application/questionnaire solely for the purpose of collecting general information. I comprehend that the submission of this informal application/questionnaire does not constitute insurance coverage for either myself or the insured item for which I am seeking information.

I am aware that the coverage limits I have requested may be subject to change upon the generation of a formal quote by an insurance company. It is my responsibility to thoroughly review the coverages and policy conditions at that time. I confirm that I have read the foregoing application/questionnaire, along with any attached documents, and declare that the information provided therein is true, complete, and correct to the best of my knowledge and belief. I understand that this information serves as an inducement for the company to consider issuing an insurance policy, and no coverage is currently being offered.

I acknowledge that West Coast Real Estate & Insurance, Inc., DBA West Coast Global Insurance Services, will be in communication with me to further assist with my insurance needs. I hereby grant my consent to receive telephone calls, text (SMS & MMS) messages, and email communications. I understand that providing consent is not a condition of purchase, and standard message and data rates may apply. For more information on how your data is handled, please visit our Privacy Policy. (PRIVACY POLICY)
Checking this box serves as my digital signature.

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