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  San Francisco California 94103
  
  415-242-8100
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Home
About
- Our Agency
  About Us
  Agency Blog
  Our Location
  Testimonials
  Refer Friends and Family
- Get in Touch
  
  204 Valencia St., Unit 6
  San Francisco California 94103
  
  415-242-8100
Services
Resources
- RESOURCES
  Customer Service Center
  Trucking Insurance Estimator
  Mortgagee Change Request
  Condo Policy Upload
  Frequently Asked Questions
  Company Links
  Get Credit Score
  Insurance Glossary
  Downloadable Free Insurance Reports
- RECENT ARTICLES
  
  Recent
  
  The Importance of Long-Term Care Insurance in Future Planning
  September 4, 2025
  
  Why Health Insurance is Essential for Every Business Owner and Their Employees
  August 28, 2025
  
  Protecting Your Business: The Role of Cyber Liability Insurance in Data Breach Defense
  August 26, 2025
  
  All Articles
Chat AI
Contact
Start Quotes Here
- Personal Insurance Quote
- Business Insurance Quote

Dwelling Fire Insurance Quote

Dwelling Fire Insurance QuoteJohn Oei2025-10-22T09:14:05-07:00

Step 1 of 2

50%

Applicant Name

First Last

Mailing Address

Location of Premises if different from mailing address:

Mortgagee

POLICY PERIOD:

From_______To_______

COVERAGES AND LIMITS OF LIABILITY: Fire, E.C. & V.M.M.

Dwelling Amount of Insurance $

Personal Property of Insurance $

Personal Liability of Insurance $

DWELLING INFORMATION

Year Construct.

Construction Type (Brick, Frame, Etc.)

Protection Class

Sq. Ft.

Rating Territory

Seasonal Use?

Feet From Fire Hydrant

Miles From Fire Dept.

No. of Families

Dist. to Water

No. of Stories

Primary Type of Heat

Occupancy:

Owner

Tenant

Seasonal

Vacant

Is dwelling eligible for wind pool?

Yes

No

If vacant, how long?

County in which risk is located?

Wind & hail deductible: $

All other peril deductible $

SPECIAL STATE PROVISION: SOUTH CAROLINA VALUATION CLAUSE (Cov. A) $

PREVIOUS INSURER AND PRIOR LOSS INFORMATION

Has the insured or applicant had 3 years of prior coverage?

Yes

No

Has the insured or applicant had any prior claims or losses in the last 3 years?

Yes

No

Year

Insurance Company

Pol.#

Premium

Date of Loss

Loss $ Amount Paid

Losses $ Amount Reserved

Description of Losses

Upload Your Current Insurance Policy or Related Documents

Drop files here or

Max. file size: 20 MB, Max. files: 10.

WOOD STOVE QUESTIONNAIRE

Was stove professionally installed?

Yes

No

Is stove located on non-combustible surface?

Yes

No

Has chimney been inspected and cleaned in the last 12 months?

Yes

No

TENNESSEE / VIRGINIA FRAUD STATEMENT:

It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines and denial of insurance benefits.

Recents Articles

The Importance of Long-Term Care Insurance in Future Planning

The Importance of Long-Term Care Insurance in Future Planning

Why Health Insurance is Essential for Every Business Owner and Their Employees

Why Health Insurance is Essential for Every Business Owner and Their Employees

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April Insurance Agency

204 Valencia St., Unit 6

San Francisco, California 94103

Phone: 415-242-8100
Email: support@aprilinsurance.com

CA Dept of Insurance 0659943

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