(208) 667-9421 Coeur D'Alene, ID

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Property Location Under Construction

Address

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Address

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Insurance Information

Deductible Desired

Amount of Liability Desired

Hurricane Coverage Desired?
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Earthquake Coverage Desired?
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Windstorm Coverage Desired? (not applicable in all states)
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Dwelling Information

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Square Footage

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How Many Floors?
1 Story
1.5 Story
2 Story
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Type of Construction
Wood
Stucco
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Other Home Features (check all that apply)

Dead Bolts

Fire Extinguisher

Located within 5 miles of Fire Station

Located 1000 feet from Fire Hydrant

Home Located within City Limits

Claims

Date of Claim

Amount Paid

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Description

Note: Coverage Can Not Be Bound Changed Or Deleted Via Electronic Message

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Coeur d' Alene Insurance | 1801 Government Way, Suite 1 | Coeur D'Alene, ID 83814 | (208) 667-9421

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