Habitational Quote Request
Includes Apartment Buildings, Condo Buildings and/or COAs, and Townhome Buildings and/or HOAs.  If you are looking for a renter's quote or unit-owners (condo/townhome) quote, please use the Personal Home Insurance page.  If you have a rental home or condo, use the Personal Home quote and indicate "Landlord" in the Comments section.
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Business Name *
Legal entity
Name of Development
(If different than business)
Primary Address *
Use clubhouse address or address of one of the buildings. List mailing address separately if applicable.
Coverage
Providing copies of current policies will provide the most accurate comparison quote.  Fax Declarations to 888-236-0940 or email shanepage@piedmont-ins.com.  
Total Number of Buildings
Total Number of Units
% Occupied
Select the option that describes MOST of the residents in your development?
Total Value of ALL Buildings
Coverage will be quoted on a blanket basis.
Current Insurance Company
Company name and pol # will be needed to obtain claim history.
Current Annual Premium
Contact Information
We will use this information to contact you if additional details are required to complete your quote.  Please indicate your preferred method of contact.
Email *
Phone Number
Comments
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