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Homeowners Quote
Personal Information
*
Indicates required field
First Named Insured
*
First
Last
Phone
*
Email
*
How should we contact you?
*
Phone
Email
Address to be Insured - Line 1
*
Line 2
*
City
*
Zip Code
*
State
*
General Home Info
Distance to Fire Department
*
Fire Hydrant within 1000 ft of home?
*
Yes
No
Unsure
Who is the home deeded to?
*
Will this be "owner occupied"?
*
Yes
No, Seasonal
No, Rental
Is this a new purchase?
*
Yes
No
Date of Purchase
*
Purchase Price
*
Market Value or SEV
*
Indicate whether the home is Market Value or SEV. SEV = State Equalized Value - this can be found on your annual tax statement.
Have you had any claims in the last 3 years?
*
Yes
No
If you've had claims, please state the date, amount paid, and short description of the loss:
*
Determining Adequate Insurance for Your Home
Year Built
*
Siding Material
*
Vynyl
Wood
Aluminum
Number of Stories
*
1
1.5
2
3
Solid Fuel Burning Stove
*
None
Woodstove - Professional Installation
Woodstove - Self Installation
Outdoor Woodboiler
Heat in Detached Structures
Interior wall material
*
Drywall
Knotty Pine
Plaster
Floor coverings
*
Wood
Carpet
Tile
Laminate
Pergo
Construction type
*
Frame
Manufactured
Masonry
Masonry Veneer
Mobile
BOCA
HUD
Foundation
*
Basement (Finished)
Basement (Unfinished)
Crawl Space
Slab
Number of Bathrooms
*
1
1.5
2
2.5
3
Central Air
*
Yes
No
Roof Material
*
Asphalt Shingle
Clay Tile
Dimensional Shingle
Metal Roof
Wood Shake Shingle
Attached features and square footage
*
Please list the attached item and then list the square footage. i.e. Wodden Deck, 150 sqft
Roof age
*
Exterior Walls
*
Frame
Masonry Veneer (Brick Over Studs)
Masonry (100% Brick)
Stucco
Other
Sqare footage?
*
This does not include the basement.
Heat type
*
Gas - Forced Air
Gas - Water Radiant
LPG - Forced Air
LPG - Radiant
Electric
Interior wall coverings
*
Paint
Wallpaper
Waynes Coating
Added roof features
*
None
Extended Life
Hail Resistent
Extended Life/Hail Resistent
Finished Basement Square Footage
*
Only necessary if basement is finished
Attached Garage?
*
Yes
No
Limits and Coverages
Desired Deductible
*
$10,000
$5,000
$2,500
$1,500
$1,000
$750
$500
Opptional Property Coverages
*
Increased Cost for Dwelling
Guaranteed Home Replacement Cost on Dwelling
Plus Endorsment
Replacement Cost Dwelling
Replacement Cost Contents
Water Backup of Sewers/Drains
Identity Theft
Ordinance and Law
Other Structures Additional Limit
Other Structures Off Premise Additional Limit
Structures Related to Others
Increased Limit on Fungi/Rot/Bacteria
Fire Department Charges
Loss Assessment Coverage
Increased Limits on Jewelry/Watches/Fur
Increased Limits on Guns
Increased Limits on Money
Increased Limits on Securities
Increased Limits on Silverware
Business Property on Premises - Increased Limits
Earthquake Coverage
Credit and Fund Transfer Card Coverage
Incidental Rental - Personal Property
Medical, Dental, Vet Biz Personal Property
Matching of Undamaged Siding or Roof
Limits of Liability
*
$1,000,000
$500,000
$300,000
Optional Liability Coverages
*
Additional Residence Rented to Others
Additional Residence Premises Occupied by Insured
Watercraft Liability
Incidental Farm Coverage
Recreational Vehicle Liability
Incidental Business Coverage
Teach and School Admin Corporal Punishment
Beauty Parlor/Barber Shop Professional Liability
Accidental Death Benefit
Damage to Property of Others
Please describe your situation/reason for selecting any additional liability or property coverages:
*
Inland Marine: For items that do not fit into a homeowners policy or need to be named specifically
Please give a description of each item (including a serial number, VIN, etc.), the value, model, and year manufactured.
Personal Articles (Jewelry, Cameras, Computers, etc.)
*
Sporting Goods (Guns, Bicycles, etc.)
*
Snowmobiles, Gold Carts, Non-Road Leagal Rec Vehicles, Trailers
*
Boats, Boat Equipment, motors, trailers
*
Discounts
Any Groups?
*
Groups can be an Association, Credit Union, AARP, Sam's Club, Alumni, etc
Interested in an auto quote?
*
Yes
No
Interested in paying in full?
*
Yes
No
Eligible for good student discount?
*
Yes
No
College Students only
Central Alarm?
*
None
Fire
Burglary
Both
Smoke Detectors, deadbolts, and Fire Extinguishers used?
*
Yes
No
Any other special features of your home?
*
This includes things like increased cost of construction materials, sliding glass doors, Jacuzzis, watercrafts, ATVs, animals, farms, etc.
Optional Policies or Coverages Desired
*
Life
Annuity
Flood
Umbrella
RV
Watercraft
Off Road Vehicles
Submit
Home Page
Easy Quote
Car Insurance Quote
Home Insurance Quote
>
Renter's Insurance Quote
Dwelling Fire Insurance Quote
Life Insurance Quote
Commercial Insurance Quote
Umbrella Insurance Quote
RV and Recreational Vehicles Insurance Quote
Pet Insurance Quote
Service Center
Make a Payment
Make a Claim
Send and Recieve Documents
Contact Us
MI No-Fault Reform
Bodily Injury
Personal Injury Protection
Mini-Tort
How to Save?
How to Save?
COVID 19