Thursday, February 23, 2012

509-525-4110/800-962-8095

Vehicle Insurance

  1. accidentPreferred and Standard
    Non Standard
    Antique Auto
    Motor Homes & RVs
    Boats
    Motorcycles

    Comprehensive – covers damage other than collision, such as fire, theft &/or vandalism
    Collision – pays for damage to your vehicle caused by an accident
    Medical – pays medical expenses for you and any passengers in your vehicle. If expenses exceed your medical limit, non family members may obtain compensation from your liability coverage.
    Liability – covers property damage and bodily injury if you become legally responsible as a result of an accident while driving your vehicle.
    Uninsured/Underinsured Motorists – covers property damage and personal injury caused by another party who does not have insurance or does not have enough insurance.

    Get a Quote

  2. Your Full Name:(*)
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  3. E-mail Address(*)
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  4. Preferred Phone Number:(*)
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  6. Best time to call?(*)
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  7. Street Address:
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  8. City:
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  9. State:
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  10. Zip Code:
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  11. County:
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  12. Date of Birth:
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  13. Marital Status:
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  14. Spouse Full Name:
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  15. Date of Birth:
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  17. Do you own your own home, or do you rent?
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  19. Is this a condominium or townhouse unit:
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  21. Other drivers in household & their age(s)
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  23. Are any drivers full-time students with a 3.0 average in their last semester of school?
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  25. Have you had any violations or accidents in the last 5 years?
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  27. Current Insurance Carrier:
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  29. Renewal Date (If Known):
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  30. Vehicle 1:

  31. List name & model (i.e., 1997 Toyota Camry XLE):
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  33. How it is used:
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  34. Approximate Annual Mileage:
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  35. Vehicle 2:

  36. List name & model (i.e., 1997 Toyota Camry XLE):
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  38. How it is used:
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  39. Approximate Annual Mileage:
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  40. Vehicle 3:

  41. List name & model (i.e., 1997 Toyota Camry XLE):
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  43. How it is used:
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  44. Approximate Annual Mileage:
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  46. Medical Payments:
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  47. Collision Deductible:
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  48. Comprehensive Deductible:
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  50. Bodily Injury:
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  51. Property Damage:
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  52. Policy Information:

  53. Do you currently have an Umbrella policy?
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  55. Do you currently have a homeowners policy?
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  57. Do you own any life insurance policies outside of work?
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