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| Property type: |
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| Use: |
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| Do you |
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| Year built: |
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| If property over 20 years old, which
of the following have been replaced? |
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| If heating is with oil please indicate age of tank : |
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| Do you have a woodstove or fireplace? |
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| Was your roof updated in the last 20 years? |
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| Is property equipped with an alarm? |
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| If yes, is alarm |
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| Are you within 300 m of a hydrant? |
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| Are you within 8 km of a firehall? |
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| Have you had any claims in the last 5 years? |
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if yes please describe in comments section |
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Discount Information |
| I am mortgage-free |
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| I am a non-smoker |
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Amount of coverage required |
| Building*: |
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| Contents: |
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| Liability: |
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| Deductible: |
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| Do you require identity theft coverage? |
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| Recent claims: |
| Type: |
Date (mm/yyyy) |
Location involved |
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| #1: |
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| #2: |
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| #3: |
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| Comments: |
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* Your building may currently be underinsured. Before we bind coverage, we will calculate the replacement cost of your home in order to confirm that you are insured to value. We will then have to use the calculated limit as building limit and quote accordingly. |
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Disclaimer
This is a request to provide a quote only and is not an insurance policy. It is not an offer of insurance. Further information may be required in order for a complete quote to be provided. This quote request contains some information about coverage offered but it does not list all of the conditions and exclusions that apply to the described coverage. The actual wording of the policy governs all situations.
This quote request is only available to persons resident in the Province of Ontario. If you a re a resident of quebec and would like us to provide you with an insurance quote, please contact our office.
The products described are subject to change without notice at any time. |
