Scovotti & Company Inc

CONDO or CO-OP

Policy Holder
Contact Name *
Email *
Phone Number
Property Location
Address
Unit Number
City
State
Zip
County
Current Insurance Information
Company Name (if any)
Expiration Date
Amount of Liability
Deductible Desired
Current Annual Premium
Unit Information
TYPE OF UNIT CONDO  CO-OP
Estimated Replacement Cost of Personal Property (contents)
Square Footage of Unit
Approximate Age of Building
Description of Building 1-5 Story Walkup Bldg
1-5 Story Elevator Bldg
High Rise Building
Other
Type of Construction Brick
Brick/Fire Resistive (no firescapes)
Frame
Other
Other Features Dead Bolts
Smoke Detectors
Fire Extinguisher
Central Station Fire Alarm
Central Station Burglar Alarm
Claims
List any claims in past 3 years:
  Amount Paid Claim Type Description
1.
2.
3.
Personal Property
Estimated value of your personal property other than the value of clothing and furnishings:
Jewelry & Watches
Furs
Silver
Firearms
Stamp and Coin Collections
Fine Arts and Breakable Items
* = Required Field
Disclaimer Notice - The premiums quoted are estimates based on information you provided. This quotation does not constitute a contract of insurance, nor does it provide coverage for any loss or claim. Coverage can only be bound by an agent with a signed application and a down payment.


A Division of Eifert, French & Ketchum

WE RELOCATED TO
330 fifth avenue
pelham, new york 10803

Phone: (718) 824-1700
Fax: (718) 824-1930

Office Hours
  Monday - Friday - 8:30AM - 4:30 PM
Closed Weekends 

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