homeowenrs quote
Contact Us Today: 888-833-8120 | Fax: 888-315-3750
1055 Stewart Avenue, 2nd Floor, Suite 5, Bethpage, NY 11714
42-18 Broadway, Astoria, NY 11103
Free Homeowners Quote
Full Name
Address
City
State
Zip Code
Email Address:
Contact phone number
Social Security # of
Property Owner(s):
Miles to Department
Feet to Hydrant
Name of Responding Fire Department (If Outside City Limits)
Construction Type
Building Type
# of Stories
Square Footage
Home Extras
Year Built
Check If "Yes"
Fire Extinguisher
Smoke Detectors
Central Station Burglar
Central Station Fire
Dead Bolts
Have any of the following been updated in the past 20 years?
If Oil, where is the
tank stored?
Type of Heat
Heating
Electrical
Roof
Plumbing
Above ground
Do you own a swimming pool?
(check all that apply)
Electrical system protected
by circuit breakers?
Diving Board
In ground
Fenced in
Slide
Have you had any losses to
your home or property in
the past 3 years?
Do you need special coverage for
jewelry, furs, cameras, fine arts,
etc.?
Do you own any animals
or exotic pets??
Wood or Stove Fireplace?
Do you own or rent any
other property?
Do you conduct any
business out of the home?
Other information/retail
store on the first floor?
If Renting, number of
apartments in your
building
Dwelling or Building
Coverage Limit $
Value of Personal Property
or Contents
Current Insurance
Company
Current Policy
Expires
Current Premium
Medical Payment
Deductible
Personal Liability Limit
Serving Happy Clients throughout New York State, New Jersey, Pennsylvania, Connecticut and Beyond!
Contact Us: 516.320.8120 | 631.422.8585 | 718.577.2721
Fax: 888.315.3750 | 516.320.8121 | 631.422.8586
Email: info@classiccoverage.com
csr@classiccoverage.com
Bobb@classiccoverage.com
CAKE Program
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