Mexican Homeowners Insurance Application
Request for the Exclusive Lewis and Lewis Special
Homeowners Insurance Policy for Mexico

Rates for Mexican Homeowners Insurance
Special Homeowners Insurance Policy for Mexico Rate Chart
PACIFIC
Insured value of dwelling:      Annual Premium,
   incl. IVA tax & Policy Fee:
PACIFIC ATLANTIC
$50,000
$100,000
$150,000
$200,000
$250,000
$300,000
$350,000
$400,000
$450,000
$500,000
 
$614
$1,059
$1,503
$1,948
$2,393
$2,837
$3,282
$3,726
$4,171
$4,616
$763
$1,357
$1,951
$2,545
$3,139
$3,733
$4,327
$4,921
$5,515
$6,109

Annual cost includes premium, IVA tax, $25 fully earned policy fee, and a fully earned broker fee.
 
Coverage may be on moratorium anytime at underwriter discretion. Therefore, please complete and submit the application so that we may secure and prepare a quote when moratorium is lifted.

Please complete and submit the interactive form below
Or print out and complete this form and fax or mail to:
Lewis and Lewis Insurance Agency, Inc.
8929 Wilshire Blvd., Ste. 220
Beverly Hills, CA 90211
fax - (310) 652-5849

NOTICE: Only completely enclosed structures are insurable. Coverage for palapa roofs is limited to $4,500 and there is an additional premium of $51.98 for this coverage. Coverage for pools is limited to $4,500 and there is an additional premium of $51.98. Coverage for porch is limited to $4,500 and there is an additional premium of $51.98. The underwriter is NOT able to insure Trailers or Mobile homes.
Step 1 - Provide Information about Your Property
This property consists of # of Completely Enclosed Buildings.
This property has of # of structures/constructions.
Location of Property in Mexico

please provide complete address as shown in the title documents
Beach Front Property?
YesNo If yes, how many feet from ocean?
Start Date for Requested Policy
  Calendar (month/day/year)
Policies are effective as of 12:01a.m.; not a binder of insurance
Main Dwelling:
Real Value to Reconstruct (US$)
Square Footage of Dwelling
Is Dwelling Fully Enclosed?
Yes No
ONLY COMPLETELY ENCLOSED STRUCTURES ARE INSURABLE.
Building Material of Dwelling
Roofing Material of Dwelling
Number of Stories
What Percentage of Dwelling Roof is Palapa?

Palapa means "thatch covered structure" of any shape constructed of natural palm leaf.
Is there a Thatch-
Covered Patio?
Yes No
Other Building 1:
Real Value to Reconstruct (US$)
Square Footage of Building
Is Building Fully Enclosed?
Yes No
ONLY COMPLETELY ENCLOSED STRUCTURES ARE INSURABLE.
Building Material
Roofing Material
Number of Stories
What Percentage of Building Roof is Palapa?

Palapa means "thatch covered structure" of any shape constructed of natural palm leaf.
Is there a Thatch-
Covered Patio?
Yes No
Other Building 2:
Real Value to Reconstruct (US$)
Square Footage of Building
Is Buildling Fully Enclosed?
Yes No
ONLY COMPLETELY ENCLOSED STRUCTURES ARE INSURABLE.
Building Material
Roofing Material
Number of Stories
What Percentage of Building Roof is Palapa?

Palapa means "thatch covered structure" of any shape constructed of natural palm leaf.
Is there a Thatch-
Covered Patio?
Yes No
Additional:
Do you have any Special Structures on the Property?
Yes No
If yes, please describe and provide a value for each.
Do you have a Pool on the Property?
Yes No
If yes, please describe and provide a value for each, up to $4,500.
Do you have Porches on the Property?
Yes No
If yes, please describe and provide a value for each, up to $4,500.
Do you have Palapa on the Property?
Yes No
If yes, please describe and provide a value for each, up to $4,500.
The Mexican Government requires that you describe and specify the value of each construction item insured on your property. Please check "Yes" and complete the information for each construction item to be insured.
Construction Item Yes Description Value $U.S.
Garage
Guest house
Concrete/cement slab
Deck
Storage building
Driveway
Metal chimneys
Windmills and air-driven pumps
Cooling towers
Stell towers and transmission antennae
Receiving antennae
Electric substations and solar
Signs
Sports installations
Meteorological stations
Gardens and decorative constructions
Fixed garden furniture
Docks and piers
Staircase
Terrace
Walls
Roads; paved streets; sidewalks; and/or patios belonging to the insured.
Holding tanks; cisterns; liquid depositories and their contents
Other constructions
Step 2 - Contents
The limits of coverage quoted are for a ration to insure Contents for 30% of the Dwelling value insured and Theft for 10% of the Dwelling value insured. Higher Contents and Theft limits are available. Condominium Owners need to declare values for Contents & Theft. Homeowners wishing to insure for different values than 30% or 10% may do so.
Real Replacement Value of Contents
in US$
Value to Insure for Theft
in US $
(Homeowners leave blank for 30%, 10%)
List of Contents (items with individual values exceeding U.S. $1,500.00:)
DESCRIPTION Serial No.
Date Purchased
VALUE
Step 3 - Optional Coverage
for a more complete description of optional coverages, click here.
Do you want Accidental Glass Breakage for your MAIN Dwelling and/or Special Structures?
Yes No
If yes, please provide description of structure and advise desired limit for each.
Do you have any contents in Special Structures?
Yes No
If yes, please describe value of contents of each.
Do you want Accidental Glass Breakage for your contents in the MAIN Dwelling and/or Special Structures?
Yes No
If yes, please provide description of structure and advise desired limit for each.
Special Agreement Items Coverage
Please provide a description of any Item of Contents that has a unit or a collection value in excess of $1,500.00 OR any Jewelry; Gold; Silver; Weapons; Collectables; Watches; Furs; Precious Stones; that have a per unit value in excess of $500.00 as these need to be scheduled for CONTENTS COVERAGE as well as THEFT COVERAGE to be applicable to them.
Electronic Equipment and Appliance Coverage?
Yes No
If yes, please provide description and value of each.
Civil Liability Limit
As $100,000 is included, please select a limit indicating if your desired amount is greater than $100,000.
Do you have any Domestic Employees?
Yes No
Do you want Legal Assistance Coverage?
Yes No
Do you want Home Assistance Coverage?
Yes No
Loss of Income Coverage?
Yes No
If yes, what is your peak monthly rental income?

Optional Coverages

PALAPA ROOF/PATIO POOL COVERAGE UP TO $4,500 

 SPECIAL STRUCTURES

1.  Fixed installations on the open air, or open buildings such as: a.- Metal Chimneys; b.- Windmills and air-driven pumps; c.- Cooling towers; d.- Steel towers and transmission  antennae; e.- Receiving antennae; f.- Holding tanks, cisterns and liquid deposits and their contents; g.- Electric substations; h.- Signs; i.- Sports installations; j.- Metereological stations; k.- Swimming pools; l.- Awnings and curtains; n.- Gardens and decorative constructions; 0.- Roads, paved streets, sidewalks or patios belonging to the insured; p.- Fixed garden furniture; q.- Docks and piers; v.- Walls.

2.  Any buildings that because of their nature they have no windows, doors or complete solid walls, when said building have been designed and built to withstand these circumstances, and /or buildings under construction.

ACCIDENTAL GLASS BREAKAGE

Any and all glasses correctly installed in the Insured building, and the cost of their installation, will be covered against accidental breakage, without exceeding the Insured amount specified by the policy. Other glasses that are part of the contents such as mirrors, table covers etc., will also be covered.

ELECTRONIC EQUIPMENT AND APPLIANCES

a.- Ignorance, carelessness or sabotage caused by strangers or the Insured’s domestic personnel.

b.- Direct action of electric currents such as short – circuits, voltaic arches and other similar effects, as well as indirect damage caused by atmospheric electricity.

c.- Inherent defects during construction, or use of defective materials.

d.- Inherent defects in labor or mounting.

e.- Breaking due to centrifuge forces.

f.- Strange objects introduced in the Insured property.

g.- Explosion of the Insured property, understanding by explosion the breaking or cracking of the property, or expansion of the fluids contained by the same that cause a sudden balance between the internal and external pressures.

h.- Other damages caused to the Insured property, except for those described in Clause 1 of the Policy and applicable to all Sections, “Excluded hazards”, and “Excluded Property and hazards” of this Coverage.

SPECIAL AGREEMENT ITEMS

Property inside refrigerators, due to temperature changes.

Injuries or death of animals due to heat, fire or lightning.

Gold or silver ingots, jewelry or loose gems.

Art or rare objects with a unit or set value higher than the equivalent of more than 600 days of the Minimum Daily Salary paid in Mexico City at the moment the policy was bought.

Manuscripts, blue prints, drawings, models, dice and software.

Any damaged property, concerning retrieval of debris expenses.

Workers Compensation for accidents while at work of the Insured’s domestic employees.

a.- Public and legal liability for damages to a property that the Insured leased partially or totally, to be used as a dwelling, because of fire and/or explosion, as long as these damages are his responsibility.

b.- Liability derived from losses during study, vacation or pleasure trips outside Mexico. If this coverage is purchased, the Insured will always be responsible for 20% of each claim.

c.- Liability caused by constructions, enlargements or demolitions.

d.- Damages caused to someone else’s property, when under the custody and control of the Insured, by agreement or by legal mandate.

e.- Workers compensation for accidents while at work of the Insured’s domestic employees.

LEGAL ASSISTANCE COVERAGE

The Company will render all necessary legal services to the Insured, in case of damages or losses covered by any of the sections of the Policy.  These services will be through the lawyer or lawyers appointed by the Company.

RENTAL LIABLITY

The Lewis and Lewis Exclusive Rental Liability Option extends General Liability coverage for the Insured while the dwelling is rented to third parties.

LOSS OF INCOME

Damages to foundations, swimming pools, exterior walls and staircases, and any and all construction separated from the Insured building.

Contention walls below floor level or independent contention walls.

Any and all decorating paintings or murals on the walls of the Insured building.

Consequential losses (Consequential loss is understood as a loss of income or profit due to the stoppage or difficulty of operations because of damage caused by the Insured hazards).

HOME ASSISTANCE COVERAGE

Technical and Personal Assistance
Mexican Home Rental Liability Insurance

Now Homeowners can protect their Homes & Themselves with special Liability Coverage for Rental Properties!

Important! Normal Mexican Homeowners Insurance excludes liability coverage when the home is used as a Rental Property, but the Lewis & Lewis Exclusive Rental Liability Option extends general liability coverage for the Insured Homeowner while the dwelling is rented to third parties.

Dear Home & Condominium Owners,

Since 1983, Lewis & Lewis Insurance Agency has led the way in providing the very best Mexican Insurance for tourists, regular travelers, and full-time residents of Mexico. Guided by your feedback and requests, we have worked hard to create the insurance products you need at the most reasonable rates. Please take a moment to review our newest development, the Lewis & Lewis Home Rental Liability Option. (The Rental Liability Coverage supplements our already superb "All Risk" Mexican Homeowners Insurance package).

Home Rental Liability Optional Coverage Includes:

Bodily Injury and Property Damage to third parties arising from; The insured building and property, swimming pools, sports, installations, kitchens, garages, elevators, saunas, the preparation of meals and drinks by the insured's personnel electric installations, and more. Refer to the Rental Liability Terms and Conditions for a complete detail of coverage.

Do you rent the Dwelling to third parties? If so, please read the information below:

RENTAL LIABILITY OPTION

Warning! Normal Mexican Homeowners insurance excludes liability coverage when the dwelling is rented for business to third parties (as a rental property), but the Lewis & Lewis Exclusive Rental Liability Option extends General Liability: coverage for the insured while the dwelling is rented to third parties.

Rental Liability Limits Premium Rental Liability Limits Premium
Home $100,000 US $288.00 Condominium $100,000 US $167.00
Home $300,000 US $407.00 Condominium $300,000 US $287.00
Home $500,000 US $526.00 Condominium $500,000 US $407.00
Step 4 - Provide Your Customer Information
Name Insured
Email
Work Telephone
Home Telephone
Fax Number
Address
City
State
Zip
Have you had any losses reported within the past 3 years? If so, please list, including the amount(s) of the claim(s).
Photos * Photos of the exterior of the home and all structures are REQUIRED.
Please mail or fax your photos to us after submitting your request.

Once you receive a quote and wish to proceed, please contact our office by telephone with your credit card information so that we may complete your application. This policy is subject to a minimum premium. Policy fee and broker fee are fully earned and non-refundable.

If you have any further questions, please call 1 (800) 966-6830 from the U.S./Canada or (310) 657-1112 from Mexico, EXTENSION 105 or 106.



California Surplus Line Insurance Broker License #0645420
8929 Wilshire Blvd., Suite 220
Beverly Hills, CA 90211
Phone 310-657-1112 or 800-966-6830 - Fax 310-652-5849
info@mexicanautoinsurance.com