Condo Insurance Quote - HO-6 Insurance Rates - American River Insurance Agency LLC

Desired Effective Date *

New Purchase? *

Phone Number *

Email *

First Named Insured *

First

Last

Date of Birth *

Occupation *

Gender *

Second Named Insured *

First

Last

Date of Birth *

Occupation *

Gender *

Primary Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Previous Address if Less than 2 years *

Line 1

Line 2

City

State

Zip Code

Country

Year of update to Roof? *

Year of update to Electrical? *

Year of update to Heat? *

Year of update to Plumbing? *

Personal Property limit *

Personal Liability *

Medical Payments *

Deductible *

Building Limit (Walls In) *

Loss Assessment *

Water Back Up *

Would you like an Earthquake quote? *

Would you like a Flood Quote? *

Home Claim 1 *

Date of Claim *

Status of Claim? *

Home Claim 2 *

Date of Claim *

Status of Claim? *

Comment *

Is any business conducted on the property? *

Comment *

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Condo Insurance - Quote Request

Condo Quote Request- Intake Form
All fields with * are required fields

Condo Information

Ask your HOA if the Master HOA Policy Affords any
"Walls In" Coverage

*Required For Currently Owned Homes

Required by carriers for homes over 20 years old

Condo Coverages

Homeowners Policies Do Not Afford Coverage for Earthquake or Flood Losses

Any Home Claims?
List all claims in the last 5 years for any property owned or resided in

Miscellaneous Information

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Tacoma, WA Office