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Brokers Who Search the Market for Your Best Value
1 (800) 585-1957

5680 State Farm Dr. #104
Rohnert Park, CA 94928
CA Lic.# 0523995

Office: (707) 585-1955
Fax: (707) 585-1938
Contact Us

Home Insurance Quote

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  • We can provide coverage for almost any family dwelling in California up to 4 units.
  • To receive our quick turnaround quote, please complete our underwriting questionnaire.
NOTE: Please be sure to complete all information for acceptance of the quote.
Name
Address
City
 State:CA Zip Code:
Phone
E-mail
Policy Type (select one)
 If Rental Dwelling/Number of Units

If Renters/Amount of Coverage: If Condo/Amount of Coverage:

Number of claims in past 3 years
Square footage of home excluding garage and basement
 Year home was built:
Roof Type
 Asphalt Shingle Wood Shingle Tile or Slate Flat Roof
Age of Roof: Years
TYPE
CONSTRUCTION
FOUNDATION

DECK, PORCH,
PATIO
1-Story
1 1/2 Story
2-Story
Split Level
Bi-Level		 Frame or Stucco
Masonry Veneer
Masonry
 		 Crawl Space
Slab
Post or Pier
Deck sq. ft.
Porch sq. ft.Screened patio sq. ft.

 
GARAGE TYPE
NO. CAR GARAGE
BATHROOMS
OTHER FEATURES
Attached
Detached
Basement
Built-in
Car Port		 1-Car
2-Car
3-Car
4-Car 		# of Full

# of Half

Central Air Cond.
Security System
Central Station Alarm
Internal Sprinkler System