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Please provide us with the following details so we can begin preparing a detailed quote for you. We will contact you if we have any questions and will be in touch soon!

PERSONAL INFORMATION

FARM INSURANCE INFORMATION

Same as above
Same as above
Have you previously had farm insurance?
Yes No

CONTACT INFORMATION

Email   Phone

INFORMATION YOU MAY NEED TO HAVE AVAILABLE WHEN CONTACTED BY OUR REPRESENTATIVE

limited   incorporated


loss of use
fuel
corrals
tack
 

If you are insuring a building, you will need to provide the following:

  • EXTERIOR WALL CONSTRUCTION:  frame, steel, cement, etc.
  • INTERIOR WALL CONSTRUCTION:  drywall, plywood, steel, etc.
  • ROOF CONSTRUCTION: shingle, metal, tar & gravel, etc.
  • FLOOR CONSTRUCTION:  frame, steel, cement, etc.
  • AGE:  year built
  • Height:  one story, two story
  • SIZE:  square footage
  • Type Heating: natural gas, boiler, radiant, wood, etc.
  • Type of Plumbing:  PVC, copper, etc.
  • Type of Electrical:  copper, aluminum, knob & tube, etc.
  • Size of electrical panel:  60 amp, 70 amp, 100 amp, 200 amp, etc.

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PERSONAL INFORMATION

CONTACT INFORMATION

Email   Phone

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