Carriage Group - A Full Service Insurance Agency - Hudson, Ohio

EXPLORE CG

Apartment Quote

Dwelling Fire/Apartment Building Insurance Quote

Name of Business:
Contact Name:
Address:
City:	State: Zip:
Business Phone:	Fax Number:
Contact Email Address:

Property Information

Address of Property:
Property City:
Property State:
Property Zip:
New purchase Existing ownership
Number of units:
Building Square footage:
Year Built:
Occupancy:	Owner Tenant
Occupancy Type:
Plumbing type:	Copper Galvanized Mixed (Copper/Galvanized)
Foundation Type:	Slab Crawlspace over slab Pier & Post Other (list in remarks)
Type finished basement, if any:	None Full 25% 50% 75%
Type Roof:	Shingle Wood Shake Tar/Gravel Spanish Tile Metal Other
Type of Siding:	Brick Vinyl Wood Aluminum
Number of stories:	1 2 3 4 or more
# of feet to nearest fire hydrant:
# of miles to nearest fire station:
Currently Insured? Name of Carrier & how long insured?	Yes No
Coverage's
Building Coverage	$
Liability Coverage	$
Contents	$
Deductible $ ($250, $500, $1,000, etc.)	$
Other Coverage/Remarks: (describe any extra coverage's needed such as business interruption, robbery, computers, etc.):

Any claims reported on this property or previously owned properties in the last 3 years?	Yes No
Please describe: Include date(s) and details of claim:

Additional Comments

Please give any additional comments or questions

No coverage of any kind is bound or implied by submitting information via this online form

Information from you and other sources, such as your driving, claims and insurance histories, may be used to calculate an accurate price for your insurance.
We will not distribute information to other parties other than for insurance underwriting purposes.
By submitting this form, you agree to release us from any liability should this information be accidentally viewed by others.

Enter the security code you see above. Code is NOT case sensitive. *

Insurance Solutions Begin Here!

Main Office
44 Clinton Street, Hudson, Ohio 44236
330.650.1948 - Phone
888.255.1109 - Toll Free
330.650.1074 - Fax
email: info@carriagegroup.net

Service Office
219 2nd Street, NW, Barberton, Ohio 44203

Service Office
20033 Detroit Road, Ste D, Rocky River, Ohio 44116

*Securities offered through Mid Atlantic Capital Corporation, Member NASD - *Financial advice offered through Mid Atlantic Financial Management Inc - Mid Atlantic Capital, The Times Building 336 Fourth Ave, Pittsburgh, PA 15222 800-693-7800