Free Mobile Home Park Insurance Quote
Fill out the form below and we will forward your information to a company that understands insurance for the Manufactured Housing Industry. At the current time we are working with companies that provide mobile home community insurance in the following states: Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Illinois, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, Nebraska, Nevada, New Mexico, North Carolina, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Wisconsin, & Wyoming. You will receive a FREE quote with no obligation whatsoever!
Contact Information
Contact First Name
Contact Last Name
Contact Phone
Email
General Park Information
Park Name
Park Address
Park City
Park State
Park Zip
Total Sites
Total Occupied Sites
Total Vacant Sites
Average Monthly Space Rent
Total Number Park Owned Rental Homes
Average Monthly Rental Home Rent
Year Park Established
How Long Have You Owned
Streets Paved	Please Select One Yes No
Park Lighting	Please Select One Complete Partial None
Is there any vacant land?	Please Select One Yes No
Any Lakes, Ponds, or Creeks in Park	Please Select One Yes No
Do you act as a Dealer and buy/sell Homes	Please Select One Yes No
If you are a Dealer, what are your approximate annual sales?
Distance to nearest Fire Station (in miles)
Distance to nearest Fire Hydrant (in feet)
Recreational Info
Is there a swimming pool on premises?	Please Select One Yes No
Are there any diving boards or slides at the pool?	Please Select One Not Applicable Yes No
Is the pool fenced with a self locking gates?	Please Select One Not Applicable Yes No
Are the rules posted, depths marked, and local safety standards met?	Please Select One Not Applicable Yes No
Is there playground equipment in the park?	Please Select One Yes No
If there is playground equipment, please describe:
Employee Information
Do you have employees in the park perform maintenance or repair work?	Please Select One Yes No
If yes, please describe the work they conduct:
Number of Employees
Do your employees set up homes?	Please Select One Not Applicable Yes No
Do you or your manager live in the park?	Please Select One Yes No
Do you utilize Independent Contractors for park business?	Please Select One Yes No
If yes, please describe and give approximate $ payments made to them per year.
Pet Information
Do you allow pets in the park?	Please Select One Yes No
If yes, do you allow dogs over 25 pounds?	Please Select One Not Applicable Yes No
If yes, do you allow breeds such as dobermans, pit bulls, rottweilers, chows, or wolf hybrids?	Please Select One Not Applicable Yes No
Any animal bite incidents in the past 5 years?	Please Select One Yes No
Additional Questions
Is the park primarily a family or adults only park?	Please Select One Family Adult Only
Have there been any insurance claims in the past 3 years?	Please Select One Yes No
If yes, please describe what happened and the $ value of the settlement (if any).
Buildings and Structures
Building 1
Building Use (office/ rec. hall / storage / etc.)
Construction type (wood frame / metal)
Building Age
Approximate Square Footage
Building Value ($)
Contents Value ($)
Building 2
Building Use (office/ rec. hall / storage / etc.)
Construction type (wood frame / metal)
Building Age
Approximate Square Footage
Building Value ($)
Contents Value ($)
Building 3
Building Use (office/ rec. hall / storage / etc.)
Construction type (wood frame / metal)
Building Age
Approximate Square Footage
Building Value ($)
Contents Value ($)
Building 4
Building Use (office/ rec. hall / storage / etc.)
Construction type (wood frame / metal)
Building Age
Approximate Square Footage
Building Value ($)
Contents Value ($)
Additional Property to Insure
Please describe any additional property you want insured (signs, fences, equipment, etc)
Please only press Submit Once, this may take a few moments to complete.