Homeowner Insurance Quote Request

(315) 797-8080
136 Clinton Road (Rt 12b), New Hartford, NY, 13413

Note: Questions marked in red are required items and must be answered
prior to clicking submit.

Please answer the following questons: (Explain all "Yes" answers in the remarks section below)
1.	Any other structures (garage, storage building, residence etc.) on premises?	Yes	No
2.	Any insurance declined/canceled or non-renewed in the last three years?	Yes	No
3.	Are there any other type of heating devices used other than central?	Yes	No
4.	Do you have any other insurance with this company?	Yes	No
5.	Swimming pool on premises?	Yes	No
	Fenced In Ground Above Ground
6.	Any animals on premises?	Yes	No
	Number and Breed:
7.	Wiring: Year of last update? Circuit Breakers:Fuses:
8.	Plumbing: Year of last update? Copper Pipe: PVC:
9.	Roof: Year of last update? Shingle: Rubber: Metal: Rolled Roof (Tarpaper):
10.	Heating: Year of last update? Cleaned/maintained at least once per year?	Yes	No
11.	Any claims in the last five (5) years?	Yes	No
12.	Who is the responding Fire Department
13.	Is the home a townhouse?	Yes	No
14.	Are there any smoke alarms in the home?	Yes	No
15.	Do you own any recreational vehicles, such as a snowmobile or a boat?	Yes	No

Enter any remarks here

Please ensure that all questions marked in red have been answered prior to clicking submit.

We help you find the right solution by understanding your needs.

Give us a call

(315) 797-8080
136 Clinton Road (Rt 12b), New Hartford, NY, 13413