West Coast Global Insurance Services
Ca. Lic. #0E50745
(818) 788-5353 - USA
01 (800) 099 0614 - Mex
Info@InsureMeWC.com- Email
www.WestCoastRi.com- Website
IMPORTANT NOTICE: This insurance will only apply in Mexico under the Mexican Legal System. No Coverage is afforded in neither the United States or Canada's legal system.
FIRST NAME
LAST NAME
BEST CONTACT PHONE NUMBER
EMAIL ADDRESS
MÉXICO PROPERTY ADDRESS FIELDS
LOT # / UNIT #
COMPLETE MÉXICO ADDRESS
MEXICO CITY
MEXICO STATE
MEXICO MUNICIPALITY
MEXICO POSTAL CODE
DEVELOPMENT NAME
*FIXED OUTDOOR PROPERTY THAT CAN BE SCHEDULED*
IF YOU WANT TO EXCLUDE FIXED OUTDOOR PROPERTY CLICK YES BELOW WHERE YOU SEE - "I WANT TO EXCLUDE ALL OUTDOOR PROPERTY."
I WOULD LIKE TO EXCLUDE ALL FIXED OUTDOOR PROPERTY ON MY POLICY. YES  NO
FIXED OUTDOOR PROPERTY LIST
YES/NO
# of UNITS
TOTAL INSURED SUM $$
DESCRIPTION

AIR CONDITIONING UNIT & EQUIPMENT

YES  NO

AWNING

YES  NO

BALCONY

YES  NO

CISTERN TANK

YES  NO

DECORATIVE CONSTRUCTION

YES  NO

DRIVEWAY

YES  NO

FIRE PITS CEMENTED TO GROUND

YES  NO

FIXED OUTDOOR BBQ

YES  NO

FIXED OUTDOOR FURNITURE

YES  NO

FOUNTAIN

YES  NO

GENERATOR

YES  NO

INSTALLATIONS AND / OR SPORTS FIELDS

YES  NO

IRRIGATION SYSTEMS, INCLUDING THEIR PIPING NETWORKS

YES  NO

JACUZZI

YES  NO

LIGHTING FIXTURES.

YES  NO

ORNAMENTAL ELEMENTS.

YES  NO

OUTDOOR KITCHEN

YES  NO

PALAPA

YES  NO

PATIO DECKS / RAILINGS

YES  NO

PERGOLA

YES  NO

PERIMETER WALL

YES  NO

PILLAR

YES  NO

POOL

YES  NO

POOL EQUIPMENT

YES  NO

RAILINGS

YES  NO

REINFORCED CONCRETE RETAINING WALLS, FENCES, FENCES AND / OR PERIMETER FENCES AND THEIR DOORS OR GATES

YES  NO

ROADS, WALKWAYS, STREETS, GARRISONS OR PATIOS INSIDE THE INSURED PARTY'S DOMICILE.

YES  NO

SATELLITE ANTENAS/DISH

YES  NO

SOLAR PANEL

YES  NO

SOLAR EQUIPMENT

YES  NO

STAIRS/RAILINGS

YES  NO

TILED WALKWAY

YES  NO

TRANSMISSION AND / OR RECEPTION TOWERS AND ANTENNAS

YES  NO

SWIMMING POOLS INCLUDING WATER

YES  NO

WOOD BEAM

YES  NO

I HAVE ADDITIONAL FIXED OUTDOOR PROPERTY I WANT TO ADD.

YES  NO

TOTAL INSURED SUM $$

   
$
 
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