Condominium Insurance » Bayside Insurance: The Eastern Shore's Premier Insurance Agency

Condominium Insurance Quote

We would be pleased to provide you with a free, no obligation Condominium Insurance Quote. While we do not require you to complete all of the information below, please complete as much information as you can for the most accurate quote. Your request will be handled by one of our staff members as soon as possible. If you would prefer, you may contact our office by phone or by email.

Personal Information

*Name:

*Address:

*City:

*State:

*Zip Code:

How long have you lived at this address?

If less than three years, please list your previous address:

*Email Address:

Home Phone:

Work Phone:

Cell Phone:

Contact me via:

Home Phone

Work Phone

Cell Phone

Current Condominium Insurance Information:

Current Condominium Insurance Carrier:

Expiration Date:

Current or Desired Personal Property Coverage:

Have you had any claims in the last 5 years?:

Yes

If yes, please describe the type of loss, date of loss and amount paid:

Have you ever been refused, cancelled, expired or non-renewed?:

Yes

Condominium Information

Desired Liability Coverage:

$100,000

$300,000

$500,000

$1,000,000

Desired Deductible:

$250

$500

$1,000

$2,500

$5,000

Number of Condo Units Per Building:

Any commercial occupancy?

Yes

Type of Construction:

Frame

Masonry

Fire protection - Distance to the closest fire hydrant: Less than 500ft 500-1,000ft More than 1,000ft No fire hydrants

Responding Fire Department:

Distance to closest fire department: 1 mile 2 miles 3 miles 4 miles 5 miles More than 5 miles

Does the condo have any of the following (check all that apply)? Fire alarm connected to a monitoring system Burglar alarm connected to a monitoring system Sprinkler system

Do you have any pets?

Yes

If yes, please list the types and breed:

Additional Information

Please give us any additional information you feel may be appropriate for this quote:

Please note that no coverage of any kind is bound or implied by submitting this information via this online form. Coverage cannot be bond without a written binder from our office.

Many insurance carriers use information gathered from you and outside sources about your claim, credit history and home. This information allows insurance companies to determine accurately the proper price to charge.

By filling out this form, you agree to the above terms.

Bayside Insurance Associates, Inc. The Eastern Shore's Premier Insurance Agency
Notice of Licensure: Bayside Insurance Associates, Inc. is licensed to conduct business in Maryland and Delaware.
Easton: (410) 822-2800 | Chester: (410) 643-6641 or (800) 773-0046

info@bayside-insurance.com

Condominium Insurance Quote

Personal Information

Current Condominium Insurance Information:

Condominium Information

Additional Information

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