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Request a Homeowners Quote
Please tell us a little about your needs and we will have one of professional agents give you a call. PLEASE NOTE, we only insure locally (within 50 miles of Stratford, Ontario)
Your Name
First Name
Last Name
Address
Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code
Antigua and Barbuda
Bahamas
Barbados
Belize
Canada
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Nicaragua
Panama
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Columbia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Guinea
Guinea-Bissau
Côte d\'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country
YOUR HOME
Tell us about your home.
Tell us the age of your home.
>
Choose
25 and under
Over 25 years
Your home is over 25 years. has the roof, heat, hydro & plumbing been update in last 25 years?
>
Choose
Yes
No
Type of heating
>
Choose
Oil heat
Gas heat
Electric heat
Oil heat plus woodstove auxiliary
Gas heat plus woodstove auxiliary
Electric heat plus woodstove auxiliary
How much have you insured your house for?
The amount on your house only.
Tell us about Sewer backup coverage
>
Choose
Included in policy limits
Separate limit
How much Sewer backup coverage is required?
Provide us with the specific value for this coverage you have.
What Deductible do you want?
The deductible is the amount you would be responsible for if you had a claim.
>
300
500
1,000
Do you have any floaters?
Floaters are specific items you have insurance on (ie. Boat or jewellery)
>
No
One floater item
Two floater items
Three floater items
YOUR FLOATERS
Based on your previous input, please provide us with some information on your floaters.
Type of floater item
Choose an item and provide us with the amount of insurance.
>
Jewellery
Camera Equipment
Bike
Computer
Collectibles
Limit of insurance on floater.
Type of floater item
Choose an item and provide us with the amount of insurance.
>
Jewellery
Camera Equipment
Bike
Computer
Collectibles
Limit of insurance on floater.
Type of floater item
Choose an item and provide us with the amount of insurance.
>
Jewellery
Camera Equipment
Bike
Computer
Collectibles
Limit of insurance on floater.
YOUR LIABILITY
What Liability limit do you want?
Liability insurance protects you from lawsuits if you accidentally injure someone or damage their property
>
Choose
1,000,000
2,000,000
3,000,000
Do you have any of the following?
Pool, Hot tub, baby-sitting, business on premises,
>
Choose
Yes
No
Check off all that are applicable
Baby-sitting
Business on premises
Pool
Hot Tub
YOUR INSURANCE EXPERIENCE
Have you had claims in the last 5 years?
>
Choose
No
One claim
Two claims
Over two claims
Has your policy ever been cancelled?
Tell us if your homeowners policy has ever been cancelled by the insurance company.
>
Choose
No
Yes
How would you like us to contact you?
To provide you with a policy, we will have to contact you by phone.
>
Choose
Phone
E-mail
Phone
Provide us with your full phone number including area code.
Your Email
Provide us with your e-mail if you just want us to send you an estimate based on the information you provided us.
Do you wish to specify an agent or broker
>
No
Yes
Check which agent or broker you would prefer.
Bruce Hanly
Bob Ready
Ian Morrison
Lloyd Walkom
Keith Patterson
Laurel Poirier
Jim Stacey
Steve Riehl Sr.
Steve Riehl Jr.
Patti Riehl
Chris Dietz
St. Marys Insurance Group
F.A. Campbell Ins. brokers
Scott Bell
Sarah McNichol
NOTE: Do Not Alter These Fields:
Subject