Homeowners Insurance NY

Dwelling/Building Coverage

Type: Select One... Home Rental

How much is your dwelling currently insured for?

Do you feel this amount is enough? Yes No

Would you like an alternate quote?  [ Click if, Yes ]

We will quote the rest of the coverages as follows unless you advise otherwise below:

Other Structures: 10% of the dwelling limit
Contents: 70% of the dwelling limit
Loss of Use: 20% of the dwelling limit
Liability: Maximum available by company (usually $500,000 or $1,000,000)
Medical Payments: Maximum available by company (usually $5,000)
Deductible: $500 ($1,000 recommended for higher valued homes)

Rating

Type of Construction: Select One... Frame Brick Mix Frame/Brick Steel

Year your dwelling was built:

Approximate total square footage of your home excluding the basement and attic:

Is this your Primary, Secondary or Rental Dwelling: Select One... Primary Secondary Rental

Number of Family Home: Select One... 1 2 3 4

Does your dwelling have a Smoke Detector? Yes No

Does your dwelling have Dead Bolts on all exterior doors? Yes No

Does your dwelling have a Fire Extinguisher? Yes No

Does your dwelling have a Central Station Fire Alarm? Yes No

Does your dwelling have a Central Station Burglar Alarm? Yes No

Which of the following best describes your credit history? 

Select One... Excellent Good Fair Poor Not sure, please run my insurance score

My Social Security Number is:

Prior Insurance

With what insurance company is your dwelling currently insured:

How many years has your dwelling been continuously insured for?

Have you had any insurance claims in the past 5 years? Yes No

If yes, please describe loss including the date of loss and the amount paid:

General Information

Do you conduct any business at your dwelling? Yes No

Do you own any other residences? Yes No

Do you own any dogs or exotic animals? Yes No

(If yes, please list breed and advise if friendly)

Do you own a trampoline? Yes No

Do you own a pool? Yes No

[If in-ground, is it properly fenced?] Yes No

Contact Information

Please provide the email address where you would like to receive your personalized quotes.