Renewal Checklist |
Please, for you own protection, take a few minutes and read through this form. It is intended to outline some of the major exclusions/limitations common to all homeowner and automobile policies. |
| *Name: | |
| *Email: | |
| *Phone: | |
| * Required Field |
| I have reviewed my coverage limits and I feel they are inadequate. |
| I have an office in my home out of which I conduct business. |
| I have a finished basement and/or am concerned about damage to my home and contents caused by water and sewer backup. |
| I Own: |
| Jewelry/Watches |
| Furs |
| Fine Arts |
| Antiques |
| Cameras |
| Musical Instruments |
| Silverware |
| Guns/Sporting Equipment |
| Collections |
| Stamps/Coins |
| I am concerned about damage to my home and contents caused by earthquake. |
| I am concerned about damage to my home and contents caused by flood. |
| I have recreational vehicles, ATV's, boats, jet skis, snowmobiles. |
| I have farm animals, machinery, and/or land. |
| I am concerned about protecting my assets from a large auto or homeowner's liability claim. I am interested in a Personal Umbrella Policy. |
| I have professional liability exposures stemming from my profession, such as teaching or nursing. |
| I owe more on a vehicle than the current market value. |
| I would be interested in seeing how much premium I would save by increasing home and/or auto deductibles. |
| I would be interested in buying protection for Identity Theft. |
| I would be interested in buying Life, Disability, Health, or Long Term Care |
