Property Quote 1Start2Property3Details Let’s start your property quote You’ll need this first Listing and/or inspection (if possible) Previous insurance information Your Lender’s information Your Lawyer’s name and fax number Void cheque/banking letter (if interested in a monthly payment plan) First Name*Last Name*Date of Birth*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Email* Phone*Name of Additional Person on Policy*Date of Birth*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Property Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands What is your preferred method of contact?* Phone Email How did you hear about us?* Google Social Media Radio Referral Tell us about your propertyWhat year was your home built?*Square Footage*Above GroundArchitecture Style*A-FrameLogBungalowRaised BungalowBilevelModified Bi-LevelTri-Level1.5 Story2 Story (1950 or newer)2 Story (Pre-1950)4 Level SplitSemi-detachedTownhouseDuplexFourplexOtherConstruction TypeAverageAbove AverageCustomAverage – Materials for this house would typically be found at a major building material store chain. Above Average – A house of this quality is sometimes called a “Spec House” & is usually an upgraded version of a builder’s plan with high quality materials. A few of the rooms or part of the house are customized for the owner. Custom – Materials for this house would be purchased at boutiques or specialty stores. Designers are usually involved. The entire home was “customized” for the owner. Foundation TypeBasement - FinishedBasement - UnfinishedBasement - Partially FinishedWalkout Basement - FinishedWalkout Basement - Partially FinishedWalkout Basement - UnfinishedCrawlspaceSlabBasement Square Footage*Number of Full Bathrooms (Toilet, Sink, Tub, and Shower)*Please enter a number from 0 to 10.Number of Half Bathrooms (Toilet and Sink)*Please enter a number from 0 to 10.Number of Three-Quarter Bathrooms (Toilet, Sink, and Shower)*Please enter a number from 0 to 10.Primary Exterior Wall Material*VinylWoodStuccoHardboardAluminumBrickLog (greater than 11” diameter)Log (less than 11” diameter)Cement FiberCedar SidingClapboardMetal SidingOtherOther External Wall MaterialPhysical Shape of the Home*Angular (few to no right angles)ComplicatedContemporaryCurvy (extensive curves)H-shapedL-shapedOctagonalRectangularRectangular with angled wingRoundedSquareT-shapedUniqueOtherPrimary Roof Material*AsphaltFiberglassAluminumWood ShakeMetalClayCedar Shingle/ShakeCement FiberRubberWood ShingleOtherRoof Installation Date*Does the home have a garage?* Yes No Garage Style*Attached SingleAttached DoubleDetached SingleDetached DoubleOtherNoneGarage Year Built*Garage Size*1 Car Garage1 Car Garage3 Car Garage4 Car GarageOtherIs the Garage Heated?* Yes No Property DetailsDoes this home have any of the following? Deck Porch Breezeway Solarium (sun room) Carport Pool/All Weather Pools Hot Tub Deck Square Footage*Deck Style*CoveredEnclosedOpenScreenedYear-RoundDeck Type*RooftopSpecialty WoodSynthetic LumberWoodDeck Year Built*Porch Square Footage*Breezeway Square Footage*Solarium Square Footage*Carport Square Footage*Pool Square Footage*Hot Tub Size*2 People2-4 People6+ PeopleHas the home been completely gutted in the last 40 years?* Yes No Is the home listed on the historic registry?* Yes No What is this homes primary heating type?*Central FurnaceElectricBoilerSolid FuelOtherWhen was the heating last replaced?*Does the home have auxiliary heat?* Yes No Auxiliary Heat Type*Wood StoveWood Burning FireplaceWood Burning InsertNoneAuxiliary Heat Fuel Type*Natural GasOilPropaneWoodNoneElectrical Panel*60 Amp70 Amp100 Amp200 AmpWiring Type*AluminumCopperKnob & TubeIf the home has aluminum or knob & tube wiring, an electrical inspection will be required prior to coverage being issuedPlumbing Type*PlasticCopperCast IronLeadOtherWater Heater Type*TankTanklessDoes the home have a backwater valve? Yes No Backwater Valve Type*GateFlapperDoes the home have a sump pump?* Yes No Sump Pump Type*SubmersiblePedestalDescription of Locale*Gated CommunityIsland (accessible by boat only)Island (accessible by bridge)Remote (Moderate)Remote (Slight)Remote (Very)ResortRuralSuburbanTownUrbanWaterfrontWill you have a 24 hour third party monitored alarm system? (example: SecurTek, ADT)* Yes No Is the home more than 13 kms away from a responding fire hall?* Yes No Occupant TypeOwnerRented Room(s)/SuiteRented to OthersHow many People/Families?*Is the home family occupied? Yes No Full Name of Occupant*Date of Birth of Occupant*Possession date or current renewal date*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Do you currently have property insurance?* Yes No Continuously insured for:*1 year1-4 years5+ yearsHave you experienced any property claims in the past six years?* Yes No Do you have a mortgage or homeowners line of credit?* Yes No Soft Credit Check*(soft credit check has no impact on your credit score) Yes No Additional Notes/CommentsInclude scheduled property (Jewelry, Watercraft, ATVs, etc.)CAPTCHA