(724) 465-4261
Indiana, PA
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Contact Name
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Insurance Information
Deductible Desired
$100
$250
$500
$1000
$1500
$2000
$2500
$5000
Amount of Liability Desired
$100,000
$500,000
$300,000
$200,000
$1,000,000
Hurricane Coverage Desired?
Yes
No
Earthquake Coverage Desired?
Yes
No
Windstorm Coverage Desired? (not applicable in all states)
Yes
No
Dwelling Information
Estimated Replacement Cost
Square Footage
Roof Type
How Many Floors?
1 Story
1.5 Story
2 Story
Bi-Level
Tri-Level
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Type of Construction
Wood
Stucco
Masonry
Brick Veneer
Aluminum Siding
Other
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(check all that apply)
Dead Bolts
Fire Extinguisher
Located within 5 miles of Fire Station
Located 1000 feet from Fire Hydrant
Home Located within City Limits
Claims
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Amount Paid
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Description
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