Get A Quote
Please fill out the form below for an insurance quote from Superior Flood Inc/ Flood Insurance Services
Email address *
GENERAL INFORMATION FOR FLOOD INSURANCE
Client Name *
Your answer
Property Address *
Your answer
City, State, Zip *
Your answer
County
Your answer
Phone Number *
Your answer
OCCUPANCY:
If Single Family Dwelling: Is it owner occupied?
Type of Occupancy
If Condo or Townhome, how many units in Building?
Your answer
Which floor is the condo on?
Your answer
If non residential, please describe:
Your answer
BUILDING DESCRIPTION
please answer the following questions about details of your building:
Year built
Your answer
Construction of building
Replacement cost of building
Your answer
Number of floors
Your answer
Foundation (please select one)
Is there machinery & equipment, such as a furnace or water heater, in the basement or crawl space?
Is the garage attached to, or part of the building?
Total area of garage (sq ft)
Your answer
Is the garage used solely for parking of vehicles, building access, and or storage?
IF BUILDING HAS CRAWL SPACE ABOVE GRADE:
Please answer the following questions if building has crawl space above grade:
Number of vents
Your answer
Total Square INCHES of vents
Your answer
Square FOOTAGE of Enclosures:
Your answer
INSURANCE LIMITS DESIRED
*NFIP MAXIMUM LIMITS:
Residential: $250,000 per building & $100,000 on contents per building, Non-Residential: $500,000 per building & $500,000 on contents per building
(Excess market available for higher values)
Building: ($)
Your answer
Contents: ($)
Your answer
Is your mortgage company requiring you to carry this insurance?
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