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(718) 829-3200
3600 East Tremont Ave,
Bronx NY 10465
Click Here to Email Us
*
Indicates required field
Name
*
First
Last
Email
*
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Type of Home
*
Single Family Home
Duplex
Townhome
Mobile Home
Other
Year Built
*
Fire Alarm
*
None
Monitored
Unmonitored
Not sure
Number of Units in Your Complex?
*
1
2
3
4
5+
How is the Property Occupied?
*
Principal
Seasonal
Secondary
Long Term Rental
Vacant
Under Construction
Number of Rooms
*
1
2
3
4
5
6
7
8
9
10+
Square Footage
*
Security System
*
None
Monitored
Unmonitored
Unsure
Within 5 Miles of a Fire Station?
*
Yes
No
Within 1000 feet of a fire hydrant?
*
Yes
No
Personal Property Quality
*
Economy
Standard
Luxury
Select any additional property features that apply.
*
Dead Bolts
Fire Extinguishers
Tramploline
Covered Deck/Patio
Swimming Pool
Indoor Fire Sprinkler
Have you reported any claims or losses to your insurance company within the past 5 years?
*
Yes
No
Do you have any of the following breeds of dogs: Chow, Doberman, German Shepherd, Pit Bull, Rottweiler, Wolf Hybrid, or a mix of these?
*
Yes
No
Is any business conducted on the property?
*
Yes
No
Personal Liability Coverage Desired
*
$100,000
$300,000
$500,000
$1,000,000
Other
Desired Deductible
*
$250
$500
$1000
$2000
Other
Will this insurance replace an existing policy?
*
Yes
No
When would you like this policy to start?
*
Credit Rating
*
Excellent
Good
Poor
Unsure
Additional Comments?
*
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Quotes
Quick Quote
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Instant Life Quote
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Umbrella Quote
Condo Quote
Flood Quote
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Motorcycle Quote
Service
Report a Claim
Make a Payment
Update Contact Info
Policy Change
Proof of Insurance
Contact My Carrier
Online Documents
Free Consultation
Recommended Accident Prevention Course
Defensive Driving Class
Products
Auto Insurance
Property Insurance
>
Home Insurance
Condo Insurance
Renters Insurance
Flood Insurance
Landlords Insurance
Life Insurance
>
Final Expense Insurance
Business Insurance
>
Workers Compensation
Event Insurance
Business Owner's Package (BOP) Insurance
Boat Insurance
Umbrella Insurance
Motorcycle Insurance
Travel Insurance
Blog
About
Agency Staff
Insurance Carriers
Client Testimonials
Accessibility Statement
News
Recommended Businesses
Newsletter
Newsletter Subscribe
Videos
Contact