Basement:
Yes
No
Primary type of heat:
electric heat pump
electric forced air
gas forced air
electric baseboard
wood
other
Structure will be used as:
Residence
Rental
Duplex
Commercial
Church Bldg
Barn/Storage
Type of building:
Brick
50% + Brick
Frame
50% + Frame
HUD Code Home
Commercial Bldg
Barn/Storage
Age of roof:
0 -5 yrs
5 -10 yrs
10 -15 yrs
15 + yrs
Type of roof:
Shingle
Metal
Other
Condition of roof:
good
fair
excellent
Will this be a "Contents Only" policy?
Yes
No
Entered desired coverage limits for the following:
Do all outside stairs have handrails?
Yes
No
Do you own a trampoline?
Yes
No
Does trampoline have protective devices attached?
Yes
No
Do you own a pool?
Yes
No
Does pool have fence w/ lockable gate / ladder?
Yes
No
Personal
Farm
None
Unsure
Liability Preference:
$100,000
$300,000
$500,000
none
Liability Limits:
Medical payments to others:
1,000
3,000
5,000
none
250
500
none
Physical damage to others:
Household pet liability limits:
none
25,000
50,000
75,000
Trampoline liability limits:
none
25,000
50,000
75,000
Choose your response preference:
Phone
Email