If the insured elects to have the inspection done by Roundhill, the inspection charge will be added to the invoice at binding and will be paid out of the first payment made on the policy. The insured can obtain these inspections at their expense from any qualified inspection firm or they can obtain the inspections from Roundhill Express for a non-refundable charge of $100 for the interior/exterior inspection and $35 for the exterior inspection required in connection with the renewal of the account every third year thereafter. We require the insured, at their expense, to provide a satisfactory interior/exterior inspection within 30 days of binding an account and a satisfactory exterior inspection in connection with the renewal of the account every third year thereafter. Then, hit the 'Request to Bind' button below to issue this policy. I understand and agree that by clicking the BIND button on this web page, I am signing these documents and transferring my application to Roundhill Express LLC with the intent to induce them to issue me a policy of insurance.įor security reasons, please enter the last four digits of the social security number and the applicant's name. I agree that signing these documents with my electronic signature has the same validity and effect as signing these documents by my hand in ink. I further certify that by inputting my name and the last four digits of my social security number in the appropriate spaces on this web page, I validate and sign the following documents with an electronic signature unique to me. I also certify that I have received and read the following documents constituting part of the above referenced policy of insurance. The proposed insured affirms that the information submitted to obtain this insurance coverage is true and agrees that the information shall constitute an application which shall constitute a part of any policy issued whether attached or not and that willful concealment or misrepresentation of a material fact or circumstance shall be grounds to rescind the insurance policy. It is a crime to file an application for insurance or statement of claim containing any materially false information with the intent to defraud. I hereby certify that the information provided in this application is true and that I have read and understand the provisions below. The Applicant affirms that the answer to each of the above questions on this application is:
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