Durkin DeVries and Pizzi, Homeowner Insurance in Boston Massachusetts.











For a Condominium quote, simply fill out the form below and click the submit button. One of our agents will contact you to review a personalized quote within 24 hours. If you have any questions regarding this form or regarding coverage in general, please feel free to contact us.
Personal Info
First Name:
Last Name:
Address
City:
State:
Zip Code:
E-mail: 
Telephone: 
Fax:
Best time to call:
Residence Information
Effective date of coverage:
Location of residence (if different from above):
Is this a Primary or Secondary residence?
Approximate year of construction:
Construction type:
Any losses in the last 3 years? Yes No
Smoke Detector? Yes No
Is anyone living in the residence a smoker? Yes No
Does the residence have a wood burning stove? Yes No
Does the residence have a swimming pool? Yes No
If yes, what type:
Do you own a dog? Yes No
If yes, what breed?
When was the electricity updated?
When was the plumbing updated?
When was the heat updated?
How old is the roof?:
Coverage Information
The figure you enter applies to the amount it would cost you to replace/repair the walls, kitchen cabinets and permenently installed fixtures in your unit.

Personal property/contents amount :

Personal Liability (each occurrence):
Medical Payments:
Deductible:
Endorsements:
Replacement cost on contents?  Yes    No
Protective devices
(check all that apply):
Smoke detectors: Dead bolt locks:
Fire extinguisher: Non-smoker:
Central Station Burglar Alarm: Central Station Fire Alarm:
Police Station Direct Alarm: Fire Station Direct Alarm:
Automatic Sprinklers:  
Optional Coverages:
Earthquake Coverage: Yes No
Flood Coverage:    Yes No
Scheduled Property
(enter an amount for all that apply):

Jewelry:

vaulted?

Fine Arts:
Yes No
Golf Equipment:   
Silverware:
Cameras:
Furs:  
Musical Instruments:
Guns:  
       
Comments or additional pertinent information:
   
 
Submitting an insurance quotation request to Durkin & DeVries Insurance does not constitute a binding confirmation of new or altered insurance coverage. Verbal or written confirmation must be obtained from Durkin & DeVries Insurance to confirm binding or altering coverage.
 

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