Free New York Property Insurance Quote

"Who Else Wants To Save 17% - 27% ...Up To 37% Off Their Property Insurance?"

On-Line SUPER EASY
Property Owners Insurance
Quote Form
One Simple Form - takes only 2-3 Minutes!


Your Personal Data

Your Name:
Business Name:
Property Address:
City:
State: MUST be New York!
Zip/Postal:
E-Mail (REQUIRED):
Phone:
Fax (optional):
 
Underwriting Information
 
Current Insurance Carrier:
 
Renewal date of current coverage:
 
Current cost of current coverage: $
 
Describe Building and
Occupancy in Detail:
 
Any losses past 3 years?
If yes, explain:
 
Building Coverage Amount Needed: $
 
Age of Building (yrs): Age of Roof (yrs):
 
Ages of:    Heat: Plumbing: Electric:
 
Does Building have broken steps,
peeling paint or other repairs that
inspectors will find? if yes, please
give details:
 
Gross Annual Receipts/Rents: $
 
Square Footage of
Your Business Location:
 
Number of Units in Building:
 
Do you allow dogs, and if so
how many are there?:
 
Do you allow students to rent, and
if so how many are there?:
 
Does building have a boiler? If yes,
please describe here:
 

Limits & Coverages:
Liability Limits: $300,000    $500,000
$1 Million    $2 Million +
 
Policy Deductible Desired:
 
Business Contents Needed?
If so, list type and amount:
 
Comments/Remarks:
 
Send my quotation via: E-Mail Fax
Regular Mail
Call me by Phone


Thank you for filling out this form COMPLETELY!

We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency release this information via the method you have chosen, and to release us any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

Yes, I Agree. Please Send Me a Quote NOW!


Click Button Below When Done

Please Click Only Once . . . May take up to 30 seconds!

 

Home | Bio | Contact Us | Insuring Vacant Buildings | Quote | Testimonials

1