Steve
Stephen B. Groton -- Insurance Agent and Broker
CA License Number 0816642
626-584-6303

Instant Online Quote-and-Buy from Safeco for Great Rates and Service! Just Click and Quote and if you Love It, Buy It!

[If you want quotes from my other 25 companies for Renters Insurance, complete the form below and I will shop for you!]

Renters Insurance
Free Quote Form
One Simple Form - takes only 2-3 Minutes!

Your Personal Data:
 
Your Name:
Property Address:
City:
State: MUST be California!
Zip/Postal:
E-Mail (REQUIRED):
E-Mail (again for accuracy):
Phone:
Fax (optional):
 
Dwelling Information
 
What year was the dwelling built?
 
Square footage of your unit:
 
Number of units in the building:
 
Do you own animals or pets? Yes No
If yes, list type/for dogs, list breed:
 
Are You Currently Insured? Yes No
Name of Carrier & how long insured?
 
Prior Renters Claims or Losses? Yes No
Describe claims in detail:
 
Circuit Breakers or fuses? Breakers Fuses
 
Heating Wall Floor Central
Gas Electric Other

# Fireplaces: # Chimneys:
 
Special features
(i.e., deck, air conditioning, alarm systems, pool, etc.)
 
Coverages:
 
Contents: (total dollar value of all of your possessions)
 
Deductible
($250, $500, $1,000, etc.)
 
Liability (how much coverage do
you want if someone sues you)
 
Comments/Remarks
(Describe special coverages here, e.g. jewelry, collections, art, in-home business, or other):
 
Send my quotation via: E-Mail Fax
Regular Mail
Call me by Phone

Thank you for filling out this form COMPLETELY!

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Yes, I Agree. Please Send Me a Quote NOW!


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