Renewal Checklist & Customer Inquiry

Renewal Checklist & Customer Inquiry

Please check the box for a yes response. Please provide an email address or preferred contact phone number. Thanks! PLSA

AUTO

Full Name:
E-Mail Address or Contact Phone:
Are you interested in a quote on increased auto limits?
Are there any new licensed vehicles in your household?
Has your vehicles been customized in any way?
Are any of your vehicles used in business pursuits?
If you have a loan on your vehicle has it been paid off?
Are any vehicles NOT titled under the named insured(s)?
If you have more than one vehicle on your policy, would you like to stack your Personal Injury Protection (PIP) limits?

HOME

Full Name:
E-Mail Address or Contact Phone:
Have you made any recent improvements or upgrades to your home?
Do you have any outbuildings?
Do you have any incoming producing hobbies?
Do you have any watches, furs, fine arts, guns, collectiles or other valuable items that you would like to add to your policy?
Do you need coverage for earthquake or flood?
If you live in a condo, townhouse or a development with Association coverage, do you know what the Associate covers & what the deductible is?
Do you have a wood-burning stove?
Do you have a trampoline or pool on your property?
If you have a mortgage on your property, has it changed or been paid off?

UMBRELLA EXCESS LIABILITY

ARE YOU INTERESTED IN KNOWING MORE ABOUT?

Providing insurance that fits individual needs with care & integrity.

16677 Duluth Avenue S.E. Suite 101 - Prior Lake, MN 55372

(952) 447-8350 or toll free (877) 209-8891 Fax: (952) 447-8543 | Email Us