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Property Quote Form MW

  • Make sure to select the proper type of quote.
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  • HOMEOWNER'S ON TITLE

    Please complete details for every person who's name is on title as owner of the property. Must be completed for an accurate quote.
  • MM slash DD slash YYYY
  • Certain occupations qualify for preferred rates, be as detailed as possible.
  • What day would you like the insurance to begin?
    MM slash DD slash YYYY
  • If you were referred to Connor, Perry or Melanie please let us know.
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  • CONDOMINIUM OWNER'S ON TITLE

    Please complete details for every person who's name is on title as owner of the condominium. Must be completed for an accurate quote.
  • MM slash DD slash YYYY
  • Certain occupations qualify for preferred rates, be as detailed as possible.
  • What day would you like the insurance to begin?
    MM slash DD slash YYYY
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  • TENANT'S ON RENTAL AGREEMENT

    Please complete details for every person who's name is on the rental agreement. Must be completed for an accurate quote.
  • MM slash DD slash YYYY
  • Certain occupations qualify for preferred rates, be as detailed as possible.
  • What day would you like the insurance to begin?
    MM slash DD slash YYYY
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  • Second Applicant's Details

  • MM slash DD slash YYYY
  • Certain occupations qualify for preferred rates, be as detailed as possible.
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  • Third Applicant's Details

  • MM slash DD slash YYYY
  • Certain occupations qualify for preferred rates, be as detailed as possible.
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  • Fourth Applicant's Details

  • MM slash DD slash YYYY
  • Certain occupations qualify for preferred rates, be as detailed as possible.
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  • Location Details

  • How is the property going to be inhabited, this is important for the proper coverage to be applied to your quote.
  • Ontario Only
  • Postal Code for Mailing Address
  • Is there any business activity in the home?
  • Please describe the business in the home. Be as detailed as possible about the business.
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  • Property Details

  • This does NOT include the basement.
  • If condo is in a high-rise building select high-rise. If not the basement is NOT included as a storey.
  • If inside a building select High-rise Apartment. If inside a home the basement does NOT count as a storey.
  • This only includes main level and upstairs. Basement square footage is excluded from this calculation.
  • Which type of siding is the majority of the exterior?
  • 1. Attached = Attached to the house but no room above 2. Built-In = Has a room above the garage 3. Basement = Below grade, level with basement
  • Does not include hot tub or sauna.
  • Is there a fence that surrounds the pool?
  • This is the amount of money you will require to replace your belongings if they were destroyed.
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  • Dates Details

  • When did you or will you be taking possession of this property?
  • When was the electrical last updated?
  • Copper is the most up to date type of electrical wiring.
  • Can normally be found on the electrical panel.
  • When was the plumbing last updated?
  • Copper / ABS is the most up to date type of plumbing.
  • Most homes in the city are on city sewage.
  • When was the roof last updated?
  • Most peaked roofs have Asphalt Shingle. Most flat roofs have Tar & Gravel.
  • When was the primary heating last updated?
  • Most residential homes use a Natural Gas Furnace as primary source of heating.
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  • Dates Details

  • Most residential homes use a Natural Gas Furnace as primary source of heating. Many high rises use Electric as primary source of heating.
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  • Insurance Experience

  • Since when have you had some form of home insurance without any gaps in the coverage?
  • Specifically for any form of property insurance.
  • Since when have you been insured with your current insurance carrier?
  • This does not include car insurance claims.
  • Please provide as many details about the cause of the claim?
  • When did the claim originally occur? Only the last 5 years are rateable.
  • Has the claim come to an end?
  • Missing payments for home insurance that lead to a cancellation.
  • Please provide as many details about the cause of the cancellation for non-payment, date it occurred and name of the insurance company.
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  • Discounts

    This section can offer substantial discounts to your quote.
  • If you are willing to bundle your car insurance with your home insurance you can receive a discount.
  • In order to be eligible no smoker can live at the house, even if they always smoke outside.
  • In order to be eligible everyone listed on the title must be purchasing for the first time.
  • In order to be eligible the property must not have a mortgage, a line of credit is acceptable.
  • In order to be eligible you must have an alarm that is monitored and be able to provide a certificate from the alarm company.
  • “As your broker, I am gathering this consent on behalf of the insurer who advises me that: In respect of this quotation, we may collect, use and disclose personal information reports including policy history, claims history, investigative information, rating information, risk information and only with respect to you, your personal credit information including credit score, as permitted by law. Do you, and on behalf of others listed, authorize us to collect, use and disclose to appropriate third parties, including your broker, this information solely relating to your personal property policy for the purposes necessary to assess the risk, determine a premium, investigate and settle claims, analyze business results and detect and prevent fraud? “
  • Optional feature, upload pictures of any important documents, or features of the home, etc.
    Drop files here or
    Max. file size: 50 MB.
    • Include any additional comments.
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