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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
>
Home Full
Home Picture
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