Self Storage Application

Self Storage Insurance
Application Form

Tripemco Insurance Group offers Canada’s premier insurance program for self-storage facility owners. Please fill out the below form to apply. If you have multiple locations, please fill out the form once for each location. If you have any questions, please contact Natasha Mousseau at nmousseau@tripemco.com.

General Information

Legal Name

Mailing Address

Risk Location (if different from above)

Contact Name and Position

Contact Phone Number

Contact Email

Website (Full URL)

Self Storage Specific Details

Owned or Leased

This Risk Was Inspected On (YYYY-MM-DD)

Housekeeping Comments

Annual Rental Income?

Distance from Hydrant

Distance from Firehall

Year of Construction

Number of Buildings

Number of Stories

Total Building Square Footage

Cost Per Square Footage

Building Value

Number of Storage Lockers

Percentage of Storage Lockers Occupied

Type of Walls

Specify Other Walls (Enter N/A if not applicable)

Type of Roof

Specify Other Type of Roof (Enter N/A if not applicable)

Type of Floor

Specify Other Type of Floor (Enter N/A if not applicable)

Type of Heating

Specify Other Type of Heating (Enter N/A if not applicable)

Type of Electrical

Type of Plumbing

Specify Other Type of Plumbing (Enter N/A if not applicable)

Air Conditioning? Rooftop or Central?

Multi Tenants Occupied - Other Occupancies?

Type of Basement

Elevators - Yes - No

If Yes, How Many Elevators?

Year Of Updates If Over 25 Years Old

Electrical - Year Updated

Roof - Year Updated

Plumbing - Year Updated

Heating - Year Updated

Other Information

Current Insurance Provider?

Expiry Date?

Current Insurance Premium?

Any Claims In The Last Three Years?

If Yes, Please Provide Details of Claim.

Protection and Security

Sprinkler System?

% of area protected

Date system was last tested?

Number of Portable Fire Extinguishers?

Hours of Operation?

Do Customers have 24 Hour Access?

Is the property fenced?

Gated Access with Security Code to Enter?

Burglary Alarm?

Fire Alarm?

Make & Model of Alarm System?

Monitored by? (Company)

ULC Approved?

Does Your Facility Have Security Cameras?

If Yes, Percentage Covered?

Self Storage Specific Questions

Does Your Facility Provide Outdoor Storage?

Does Your Facility Provide Automobile Storage?

If yes, do you keep customers' key?

Does Your Facility Provide Other Storage? (RV's/Trailers)

(If) Auto Exposure is Garage Policy in place? With?

Incidental Tire Storage? (on site)

Is Your Facility An Authorized U-Hall Dealer/Site?

Motor Truck Cargo Exposure (Deleivery of Bins)

Tenants Insurance Specific Questions

Tenants Insurance Offered?

Tenants Insurance Records/Invoices - Stored?

Tenants Insurance Records/Invoices? (backed-up off-site/cloud)

Other Occupancies

Left of Insured

Right of Insured

Behind Insured

In Front Insured

Self Storage Insurance Application Form