california home insurance quote: Free home Insurance quote California, ca

Please fill out our convenient quote request form and we will contact you with a personal quote.

Homeowners Insurance Quote

Contact Information

1	*First Name:
2	*Last Name:
3	*Daytime Telephone:
4	Fax:
5	*Email:
6	*Address:
7	*City:
8	*State:
9	*Zip:

Home to be Insured

10	Street Address:
11	Street Address 2:
12	City, State, Zip:
13	How long at present address:
14	Previous home address if less than 3 years at present address:

If Mobile Home

15	Do you own or rent the land:
16	Is mobile home in a park?	If yes, park name
17	Mobile Home Width & Length:
18	Manufacturer Name:
19	Model Name:
20	Year Built:
21	Serial Number:

Rating Information

22	What year was this home built?
23	What type of construction was used?
24	Number of Stories:
25	Other Occupancies:
26	Age of Roof:
27	Roof Type:	If Other
28	What style is your home?
29	How will your home be used?
30	How many rooms in your home?
31	How many full bathrooms in your home?
32	How many 3/4 bathrooms in your home?
33	How many 1/2 bathrooms in your home?
34	How many square feet on the first floor?
35	What type of home do you have?
36	How many total square feet in your home?
37	Do you have a fireplace?
38	If yes, please describe what type
39	Do you have a woodstove?
40	If yes, please describe type and use:
41	Do you have a garage?
42	If yes, please describe what type:
43	What is your primary source of heat?
44	What is your secondary source of heat?

Protective Devices

45	Do you have a security system?
46	If yes, please describe what type:
47	Burgler Alarm:
48	Type of Alarm:
49	Alarm Company:
50	Sprinkler System In Building:
51	Smoke Detectors:
52	Have you had any losses in the past 3 years?
53	If yes, please describe:
54	Is this your first home?
55	If no, do you have current insurance?
56	Do you own any pets?
57	If yes, Please describe:
58	Any Hot Tub, Sauna, Swimming Pool, Trampoline, wet Bar, Etc.?
59	If yes, Please describe:
60	Any updates that have been done on home, (i.e., new roof, electrical, heating, retrofitting, etc):
61	If yes, Please enter date complete and describe:

If The Building Is Over 25 Years Old, Please Answer The Following

62	Year Electricity was Updated:
63	Is it on Circuit Breakers:
64	Year Plumbiing was Updated:
65	Copper or Galvanized Plumbing:	If Other
66	Year Roof Installed:	Type of Roof:

Coverage Information

67	Dwelling:
68	Contents:
69	Liability:
70	Medical Coverage:
71	Deductibles:	All Perils Wind/Hail/Storm
72	Loss of Use:

Lien Holder Information

73	Name:
74	Address:
75	Phone:
76	Fax:
77	Loan #:
78	Mortgage Clause:
79	Legal description:

Comments or Questions

80
81	Deliver quote via:* Email Fax Regular Mail Telephone Appointment

This preliminary quote is for the insurance coverage you selected and based on the information you entered. A quote is not an offer for insurance nor an insurance contract. Rates quoted reflect the rates in effect as of the date of this quote and are subject to revision. To obtain coverage, you must have an application submitted by a Farmers® agent. Farmers® reserves the right to accept, reject, or modify this quote after review of the application and other underwriting information. All applications are subject to underwriting approval.

YES! I AcceptThese Terms*