Auto, Health, Life, Casualty Insurance in Los Angeles, Marina Del Rey, Napa, California

Telephone: 310-827-5050

Toll Free: 800-561-8346

Fax: 310-827-6060

CA DOI License #0555929

Request a Homeowners Insurance Quote

Contact Information

* Name:
* Phone:
* Email:
Address:
City:	State: Zip:

Current Homeowners Insurance Information

Company Name:
Policy Expiration Date:		Premium Amount $:
Amount Insured For:	$ Policy Type: Primary Secondary
Term:	6 months 1 year Other:

Home Information
How Long At Present Address:	yrs.
Year Home Was Built:
Sq. Footage (excluding garage and basement):
Any Claims In Last 3 Years: Yes No
If yes, please describe below:
Are you interested in combining your auto/home insurance for a multi-policy discount? Yes No
Are you interested in an umbrella excess liability policy? Yes No I'm not sure (what is that?)

Structure Information
Type:
Construction:
Roof:		Bolted? Yes No	Age of roof: yrs.
Foundation:
Garage:		Type:
Electrical:	Circuit Breaker Yes No
Plumbing:

Features
Bathrooms	Basement	Deck/Porch/Patio	Fireplaces	Pool/Jacuzzi
# of Full:		Deck Sq. Ft.:	# of Chimneys:	Yes No
# of Half:	Sq. Ft.:	Porch Sq. Ft.:	# of Hearths:	Is it Fenced?
		Screened Patio Sq. Ft.:		Yes No

Additional Features
Heating System	Central A/C	Burglar Alarm	Fire Alarm	Smoke Detector
	Yes			Yes

Additional Comments

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	Serving the communities of Marina del Rey, Los Angeles, Santa Monica, El Segundo, West Los Angeles, Long Beach, Culver City, Torrance, Sherman Oaks, Burbank, Orange County, Inland Empire, Glendale, Southern California, St. Helena, Yountville, and Napa, California