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Getting Started
Name*
Address of Risk*
Phone Number*
Email*
Rating Information
Year Built
Type of Structure
Concrete Highrise
Frame Apartment
Duplex
Townhouse
Residential Home
Basement Suite
Coverages
Policy Type
Comprehensive
Broad Form
Contents Coverage Amount(min. $30,000)
Earthquake
Y
N
Overland flood coverage?
Yes
No
Discounts and Surcharges
Age of Your Unit
Your Birthdate
Number of Years Claims Free
Alarm
Local
Monitored Burglar
Monitored Burglar & Fire
Sprinklered
Yes
No
Block Watch
Yes
No
Do you have a wood burning stove?
Yes
No
Has there been any losses or claims by the applicant or household member in the past 5 years?
Yes
No
Have you had previous insurance for 3 years or longer?
Yes
No
Final