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Home > Quote Sheet: Condo

Quote Sheet: Condo

Number of Insured Condo Owners
- 1
- 2
Condo Owner 1 Information
Name:*
First Last
Condo Owner 2 Information
Name
First Last
Home Information
Address
Type
Effective date:
Year built:
Date purchased:
MM slash DD slash YYYY
Square feet:
Number of Stories:
Construction type (ie stucco/frame):
Style (ie ranch):
Roof type (ie asphalt/concrete tile):
Foundation (ie slab or basement):
Number of:
Bedroom Bath 1/2 Bath 3/4 Bath Household Members # Car Garage
Garage Type:
Check box if condo has cooling, heating, or both:
- Cooling
- Heating
Updates
Roofing Year:
Roofing:
Heating Year:
Heating:
Plumbing Year:
Plumbing:
Plumbing Type
Electric Year:
Electric:
Circuit Breaker:
# Amps:
Fireplace?
- Yes
- No
Woodstove/pellet stove?
- Yes
- No
Pets
Type and breed:
Scheduled items (ie jewelry/art and $ amount):
Does HOA Provide Coverage for the Structure: (Please refer to the HOA or CC&R to see what coverage is provided for the structure under their policy)
Protection Devices Installed:
- Fire Extinguisher
- Smoke Detectors
- In home sprinkler system
- Dead Bolts
- Gated Community
- Retirement Community
- Central Burglar/Fire Alarm
- Monitoring Company
# miles to closest fire station:
Responding Fire Department:
Prior address if less than 2 years:
Mortgage company:
Loan #:
Prior Insurance Company:
# years with current company:
Current annual premium:
Liability limit:
Deductible
Personal Property Coverage:
Medical payment:
Any claims in the last 5 years:
Date of loss:
Claim amount: $
Description:
Are you interested in any of the following if available:
- Umbrella
- Life Insurance
- Identity Theft
- Sewer/Water Backup
- Business Pursuits
- Home Day Care
- Equipment Breakdown
- Service Line
Comments
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Their staff is personal, professional and knowledgeable and returns calls.Debbie C., Phoenix, AZ

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Contact

Warburton Insurance Services, Inc.

4645 S Lakeshore Dr.
Suite 9
Tempe, Arizona 85282

Phone: (480) 759-4101

Fax: (480) 759-0171

Mon-Fri: 9:00am-5:00pm
Sat-Sun: Closed

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