Get a Flood Insurance Quote
Please fill out the form to get a quote from Save Flood Insurance Agency Inc. Agent - Anne Barrington
Email address *
GENERAL INFORMATION FOR FLOOD INSURANCE
Client Name: *
Your answer
Property Address: *
Your answer
City, State and ZIP code *
Your answer
County
Your answer
Phone Number *
Your answer
OCCUPANCY:
Type of Occupancy *
If single family dwelling, is it owner occupied?
Building use
If Condo or Town home, how many units in the building?
Your answer
If condo, which floor is the condo on?
Your answer
If non residential, please describe:
Your answer
BUILDING DESCRIPTION
Please answer the following questions about the details of your building:
Year Built
Your answer
Construction quality of building:
Replacement cost of building: *
Your answer
Number of floors
Your answer
Foundation type (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?
Have there been prior losses (property or flood)
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
Replacement cost of property
Your answer
Deductible desired *
Is this policy for a loan closing? *
Is your mortgage company requiring you to carry this insurance? *
Is this an NFIP rollover policy? *
Will premium escrowed to be paid by the bank on renewal? (if yes, we will need to call you and collect lender information)
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