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Condo Insurance

* = Required Information

This is not an instant quote website; our prices are too low to list online. Please fill out the quote form to obtain a Condo insurance quote, and an insurance specialist will contact you shortly. Please understand this is not an application for insurance. An application will be sent to you if coverage is desired.

Condo Insurance Fact Finding Questions

Of the following, what is the primary reason you insure your home?	Liability Protection Loan Required Replace Investment

Of the following, what is most important to you?	Price Service Proper Coverage

Approximately when was the last time you did a review with your agent?	Within the year Over 2 years ago Over 5 years ago Never

Would you be interested in going to higher deductibles to reduce your premium?	Yes No

In the event of a lawsuit, accident, or judgment would you want to:	Maximize Protection Assume Some Risk

Would you be interested in mortgage cancellation insurance?	Yes No

In the event of an untimely death, is it important to you that you're surviving spouse and/or children maintain the quality of life you currently have together without debt?	Yes No

Contact Information

First Name

Last Name

Gender

Male Female

Date of Birth

Marital Status

Occupation

Home Address

Zip Code

The Best Time to Call?

Best Phone Number to Reach You

Fax

Email Address *

Home Information

Policy Renewal Date

Home Types

Residence Types

Square Feet of Condo/Townhouse

Construction Type

Roof Type

Year Built:

Number of Stories

Number of Bedrooms

Number of Bathrooms

Fireplace

Security Options:

Smoke Detectors	Dead Bolt Locks
Yes No	Yes No

Fire Extinguisher	Automatic Fire Sprinklers
Yes No	Yes No
Alarm System:

Home Owners Association?

Yes No

Policy Information

When Do You Need This Policy To Start?

How long have you lived at your present address?

Current Insurance Company?

Current Annual Insurance Premium?

Desired Deductible?

Liability Amount?

Medical Payments

Building Property Coverage? (Covers Interior Units: Additions, Alterations, Equipment, Appliances, etc.)

Do you need Earthquake Protection?	Yes No

Do you need Mortgage Protection Insurance?	Yes No

To receive a larger discount would you consider also insuring your cars?	Yes No

Do you need a Home Warranty Quote?	Yes No

Do you need a Flood Insurance Quote?	Yes No

Do You Need an Umbrella Policy?

If you are being canceled or have any reported claims in the last Five years, briefly explain why: (reason/date/description/amount paid/claim opened or closed)?