Quick "Homeowners" QuoteBC Residents Only

Location Information >>

1. Are you currently insured?
2. Is the property your residence or a rental property?
3.  How many families reside in this property?
4. Do you do any business out of your home?
5. Current Insured Value of Home $
6. Does this reflect the accurate replacement value of your home?
7. Do you currently hold a Broad Form (Named Perils) or Comprehensive Form (All Risks) policy?
8.  Which form would you like us to quote you?
9. Is your home: Within 1000ft of a fire hydrant?
     Within 8km by road of a responding fire hall?
10. What year was your home built?
11. Do you have any wood heating devices?
     If yes to the above, are they: Approved
Unapproved
12.  Do you have any items listed or scheduled on your policy (e.g. jewelery, furs bicycles)? If yes, please list the items and values:

Discount Information >>

1. Do you currently have a mortgage on your home?
2. Is anyone who resides in the home: Age 45+
Age 55+
Age 65+
3. Do you have any of the following: Monitored Burglar Alarm
Monitored Fire Alarm
Local Burglar Alarm
4. Have you had any claims or losses in the past 5 years?
If yes to above, please summarize details and values.

Applicant Information >>
Complete the form below so we know how to contact you.

Prefix Mr. Mrs. Miss. Ms.
Name
Street Address
City
Province British Columbia
Postal Code
E-mail
Phone
Contact Me by: Phone E-Mail

Note: Quotations are an estimate only.  Quotations are provided based on the information provided by the above form and are subject to correction by an insurance carrier.  Any error in completion or omission may affect the premium quoted.  Nauroth & Associates Insurance Brokers Ltd. reserve the right to modify or withdraw our quotation at any time.