|Preferred Method of Contact:|
This quote request is for detached homes (1 or 2 family).
If you currently have insurance, please provide current insured limit
|Do you smoke:|
|Do you have a monitored burglar alarm?:|
|Do you have a monitored fire alarm?:|
|Do you have sprinklers?:|
|Do you have a mortgage/secured line of credit on the property:|
|Was your prior policy canceled for non payment:|
|Have you ever been cancelled, declined, or refused personal insurance:|
|Kilometers to the nearest Fire Hall:|
|Is Fire Hall:|
|Distance to the closest fire hydrant:|
|Solid Fuel Burning Stoves or Fireplace Inserts in the home:|
Do not count fireplaces except inserts
|Solid Fuel Burning Units are for:|
|Oil tanks above or underground:|
|Live in employees:|
Nannies, caretakers etc.
|Short-term rentals of property to others:|
|Any roomers, boarders, or exchange students living in the home:|
Exclude basement & attached garage
|Building Construction Type:|
|Building Construction Quality:|
|# of Full Bathrooms:|
|# of Half Bathrooms:|
|Garage # of Cars:|
|Room over Garage:|
Please describe, including sq ft area(s)
|Has the home been completely gutted (new plumbing, wiring)?:|
|Home listed on any Historic Registry:|
|Wiring Main Panel Amperage:|
|Wiring Panel Type:|
Please advise of oldest installed hot water tank or year of on-demand system installation
|Primary heating system serviced annually:|
|Primary Roof Material:|
|Reverse slope driveway:|
A reverse slope driveway is one that leads downward from a public street to a parking area, such as a below-grade garage.
|Cannabis grown at this location:|
|aBusiness activities conducted from the unit/dwelling:|
If you do not have another primary business location your business is considered to be operated from your home.
|Scheduled Jewellery Coverage Required:|
Most policies include a limit of coverage for jewellery of $6000 or less subject to the policy deductible. Please advise if additional coverage is required.
|Scheduled Bicycles Coverage Required:|
Most policies include a limit of coverage for bicycles of $1000 to $2500 per bike (or less) subject to the policy deductible. Please advise if additional coverage is required.
Please use this area to tell us anything else you feel is important
front & back if available
If you want a straight comparison to your current coverage, please upload a copy of your current policy. Feel free to white out premiums, though it is our company policy to provide the best terms available!
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