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Home > Business Commercial > Community Association Quote Form
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Community Association Quote Form


Please complete the following survey for a free, no obligation quotaiton. The following is a list of the standard information needed to obtain quotation from any one of the insurance companies we represent:  Offering Plan inclding the Association By-Laws, Financial Statement, Site Plan and Loss Runs .

Community Association Name *
Type of Association *
Location Address *
City *
State *
ZIP / Postal Code *
Association Website Address
Do you use a Management Company?
Name of Management Company
Underwriting Information
Number of Units
Number of Buildings
Year Built
Personal Information
First Name *
Last Name *
Connection to Association
Primary Phone Number *
E-Mail Address *
Additional Information
Prior Insurance
Expiration Date
/ /
Any claims in past 5 years?

Description of Claims (if applicable)
How did you hear about us?
Coverages Requested


Hold down the Ctrl Key to make multiple selections.
Submission Validation
Required

Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.
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Contact us PO Box 362
Cold Spring, NY 10516

Ph: (845) 265-2220
Fx: (845) 265-4754
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