This provides coverage against property and liability perils facing homeowners. The typical homeowners insurance policy covers the structures on the property, as well as furniture, appliances and clothing, against a wide variety of perils such as windstorms, fire and theft. The extent of the perils covered depends on the type of policy. An all-risk policy offers the broadest coverage. All perils except those specifically excluded in the policy are covered. A provision known as Loss of Use, also covers additional living expenses if the house is being restored after a disaster. The liability portion of the policy covers the homeowner for accidental injuries caused to third parties and/or their property. Coverage for flood and earthquake damage is excluded and must be purchased separately.

Complete The Questionnaire Below To have Us Contact You. First Name: SS Number:   Last Name: DOB: First Name: SS Number: Last Name: DOB: Date you need effective insurance:   Do you need a policy for closing?   If so, when are you scheduled to close?   HOME DETAILS: Type of Construction: Square Footage: Year Built: Basement: Yes No If so, Sq Ft.: Year Finished Attached Garage?: Yes No Garage Size: -Select- 1 Car 2 Car 3 Car 4 Car 5 Car 6 Car Detached Structures?: Yes No Burglar Alarm: Yes No Fire Alarm: Yes No Smoke Detectors?: Yes No Is the home in the course of construction? Yes No COVERAGES:   Market Value of Home: Value of Outbuildings (if any): Personal Liability Coverage: -Select- 100,000 300,000 500,000 1,000,000 Any business on Premises?: Yes No Any high valed items to insure?: Yes No If so, whats's approx. total value?: All Peril Deductibles: -Select- 100 250 500 1,000 2,000 Wind/Hail Deductible: -Select- 100 200 500 1,000 2,000 Current Carrier: Expiration Date: Current Premium:   Claims (Descriptions / Dates / Amounts) 1.  2. 3.  4. 5. Dog Owner? Yes No Breed(s) Do you own a Trapmoline?: Yes No

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