Dwelling Fire Quote Request

Dwelling Fire Quote Request

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Single Family or condo

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Insured Name

Insured Mailing Address

Insured Mailing City

Insured Mailing State

Insured Mailing Zip Code

Location Street Address

Location City

Location State

Location zip Code

Insured Telephone Number

Insured Occupation

Insured Birthdate

Martial Status

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Prior Insurance - Carrier Name

Prior Insurance - Policy Premium

Prior Insurance - Policy Expiration Date

Occupied or Vacant

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How Many Rental Properties Does Insured Own

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Enter the amount charged for rent

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Give a full explanation if you entered Claim #1 information

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Give a full explanation if you entered Claim #1 information

Provide the year the home was purchased by the client

Enter the year the home was built

Enter the total square footage of the home. A helpful resource is www.zillow.com

How is the home built? Wood frame is most common, masonry (brick) is sometimes used, steel beams, etc

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Composition and Tile are the two most common types our carriers will not accept a wood roof or flat roof.

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Any roof (other than tile or slate) must be update within the past 20 years.

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Is the home built on a slab, etc. We cannot write homes built on steep hillsides with pier and post construction.

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Is this a single family home, duplex, triplex, etc.

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How many fireplaces/chimneys are in the home?

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Attached = has it's own roof line, Built-in = no roof line (bedrooms are built above the garage)

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Central Forced Air heating is most common in newer homes. Most carriers will not accept wall heaters which are more common in older homes.

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If the client has a pool the yard must be fenced with limited access. Diving boards are unacceptable.

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Standard Kitchen = laminate counter tops, basic cabinets. Custom = granite or better counter tops, nice cabinets, upgraded appliances

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Select the quality of the bathrooms. Standard is your normal bathroom . Custom is granite, nice shower, nice flooring, etc. Select multiple choices if needed

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Homes 20 years or older MUST have been updated to be eligible with our carriers. This includes Electrical, Heating, Plumbing, and Roof.

Homes 20 years or older MUST have been updated to eligible with our carriers. This includes Electrical, Heating, Plumbing, and Roof.

Homes 20 years or older MUST have been updated to eligible with our carriers. This includes Electrical, Heating, Plumbing, and Roof.

Homes 20 years or older MUST have been updated to eligible with our carriers. This includes Electrical, Heating, Plumbing, and Roof.

Some homes have full or partial sprinkler system inside to prevent fire damage

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Central/Monitored = monitored by a service company, Local = alarm sounds only at the home, no monitoring or response

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There are numerous breeds of dogs that will make a policy ineligible. For example: Pitt Bull, German Shepard, Mastiff, etc.

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If you answered yes to the question above, enter the breed of the dog

Trampolines make a home ineligible with our carriers

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If the insured has a wood burning stove there are very specific underwriting criteria and more questions. Many carriers will not write homes with wood stoves.

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Coverage A

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We Write a minimum of $300,000 Within AccessPlus

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List any special jewelry, art, or other items that needs to be scheduled. Most carrier require a current appraisal for individual items valued at $10,000 or more

Enter any additional comments that may be helpful for underwriting and quoting this risk.

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Advantage America

25359 Madison Ave,

102,

Murrieta, CA 92563

Phone. 877-217-3770

Email. service@advantageamerica.co