Dawson Bradford Insurance



OUR OTHER SERVICES:

Dawson Bradford
Insurance


417 Main Street, Bangor ME 04401 ~ 207-947-6788 * Fax 207-941-9866
Questions? Contact us at: info@dawsonbradfordinsurance.com


Dawson-Bradford is able to select the most competitive policy from the vast network of companies that they represent, to provide you with the proper coverage to protect your investment. Condominium and apartment renters have their own homeowners policies designed to meet their specific needs. Fill out this on-line quote form for more information about insuring your MAINE residence.

MAINE HOMEOWNER INFORMATION REQUEST

For the most accurate estimate, please complete as much of the following information as you can.

We will respond via:
BASIC ADDRESS INFORMATION
Name:
Mailing Address:
Location of Property Address:
City:
State: Zip Code:
Home Phone: Business Phone:
Fax: E-mail:

PROPERTY INFORMATION
Policy Type:
# of Units: # of Stories: Year built:
Ground Floor Square Footage: Construction:
Foundation: % Finished:
Type of roof: Last replaced:
Fire Hydrant within 1000'?: YES NO
Distance to Fire Station:
Heat source: Last update:
Electrical system: Last update:
Type:
Plumbing: Last update:
Central Air:
Central Alarm:
# of Fireplaces: # of Bathrooms:
# of Car garage: Garage:
Size of garage (SF):
Size of decks:
Swimming pool:
Inground or Above ground?:
Fenced in? YES NO
Losses in past 5 years:
Bankruptcy ever filed:

CURRENT INSURANCE INFORMATION
Insurance Co: Expires:
Deductible:

CURRENT INSURED VALUES
Limit of Liability: $
Limit of Property damage: $
Dwelling: Personal Property:
Personal Injury:
Earthquake Deductible:
Personal Liability:
Medical Payments:
Earthquake Coverage:

Last Updated:
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