California personal and business insurance quotes from Adams Avenue Insurance Adams Avenue Insurance Agency - low cost insurance for California

CA Insurance quotes from the Adams Avenue Insurance
About Our Agency

Policy Service Request


Our Privacy Notice
Insurance Experience California Residents & Businesses Can Count On!

free Instant CA insurance quotes from Adams Avenue Insurance Agency
Business and Commercial Insurance Services from Adams Avenue Insurance Agency
  Business Owners Insurance

  General Liability Insurance

  Contractors Insurance

  Workers Comp Insurance

  Commercial Auto Insurance

  Professional Liability

Personal Home and Auto Insurance Services from Adams Avenue Insurance Agency
  Auto Insurance

  Homeowners Insurance

  Dwelling Fire Insurance

  Vacant Dwelling Insurance

Life and Health Insurance Services from Adams Avenue Insurance
  Individual Health Insurance

  Group Health Insurance

  INSTANT HEALTH QUOTE

Other Insurance Services from Adams Avenue Insurance
  Policy Service

  About Our Agency

  Questions? E-Mail Us!



 
Dwelling Fire
Insurance Quote Form
One Simple Form - takes only 2-3 Minutes!


Your Personal Data:
 
Your Name:
Property Address to be insured:
City:
State: (Must be California)
Zip/Postal:
E-Mail (REQUIRED):
E-Mail (again for accuracy):
Phone:
Fax (optional):
 
 
Dwelling Information
 
Year Home Built:
Home Square footage:
 
Is this Builder's Risk?
(new home constr.)
NO YES
 
Month/Year home
to be complete:
 
Number of units: 1 family Duplex
3 family 4 family
 
Occupancy: Owner Occupied
Tenant Occupied
 
Type foundation: Basement
Slab
Crawlspace over slab
Other (list in remarks)
(If basement, what % is finished?)
% FINISHED
 
Type Construction: Frame
Brick/Veneer
Stone
Other (list in remarks)
 
Type Roof: Shingle
Wood Shake
Tar/Gravel
Spanish Tile
Metal Other
 
Number of stories: One 1.5
Two Three
 
Do you own animals or pets? Yes No
If yes, list type/for dogs, list breed:
 
Are You Near Brush Area? Yes No
 
# of feet to nearest
fire hydrant:
# of miles to nearest
fire station:
 
Does Home Have a Garage? Yes No
Tell whether built in, detached/attached, and how many cars?
 
Currently Insured? Yes No
Name of Carrier & how long insured?
 
Prior Claims? Yes No
Describe claims in detail:
 
Rate Your Credit History and Past Insurance Payment History:
(Some companies products are
based on your credit and payment history.)
Excellent Fair
Poor Horrible
 
Plumbing type: Copper Galvanized
Mixed (Copper/Galvanized)
 
Circuit Breakers or fuses? Breakers Fuses

# Bedrooms: # Bathrooms:
 
# Fireplaces: # Chimneys:
 
Special features
(i.e., deck, air conditioning, alarm systems, pool, etc.)
 
Coverages:
 
Dwelling Cov. $ Contents $
Liability Cov. $ Deductible $
($250, $500, $1,000, etc.)
 
Comments/Remarks
(describe any scheduled jewelry, in-home business, or other special coverages needed here):
 
Send my quotation via: E-Mail Fax
Regular Mail
Call Me by Phone

Thank you for filling out this form COMPLETELY!

We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

Yes, I Agree. Please Send Me a Fire Ins. Quote NOW!


Click Button Below When Done

Please Click Only Once . . . May take up to 30 seconds!

Adams Avenue Insurance Agency . 9114 Adams Avenue, Suite 144 . Huntington Beach, CA 92646
Local Phone: 714-593-1914 . Fax: 866-832-4186
E-Mail us Your Questions or Comments to: info@adamsaveins.com | Our Privacy Notice

WEBSITE DESIGN © 2013, I