Durkin DeVries and Pizzi, Homeowner Insurance in Boston Massachusetts.











For a Homeowners insurance policy quote on new construction, simply fill out the form below and click the submit button. One of our agents will contact you to review a personalized quotation 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:
Construction Unit Information

Please insert numbers in the boxes below

Kitchen:
Dining Room:
Living Room:
Den/Study/Office:
Family/Recreation Room :
Bedroom(s):
Bathroom(s) (3 or more fixtures):
Utility/Laundry/Sewing Room(s) (Over 150 Sq. Ft.):
Finished Basement (Omit if counted as a family/recreation room):
Attached two car garage:
Finished Attic: Yes No
Partly finished attic (count as 1/2 if not 150 sq. ft.): Yes No
Partially Finished Basement: Yes No
Brick/Stone Exterior Walls: Yes No
Central A/C: Yes No
Aluminum/Vinyl Siding: Yes No
Large Wall Fireplace:
Enclosed Porch/Breezeway :
Clay Tile or Slate Roof: Yes No
Screened Enclosure (Florida Room):
Please list any other units not listed above:
Construction 1/2 Unit Information
Please insert numbers in the boxes below

Half Bath :

Large Open Porch/Breezeway:
Standard Fireplace :
Unfinished Basement (With or without a built-in garage)
Attached One-car Garage:
Built-in Two-car garage:
Utility/Laundry/Sewing Room(s) (Under 150 Sq. Ft.):   
Foyer/Entrance Hall
Dressing Room/Walk-in Closet
Unfinished Attic
Finished Attic (Less than 150 sq. ft.)
Mud Room (With separate entrance)
Brick/Stone/Veneer (Front Wall)
Dinette or Partitioned Breakfast Nook
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
Number of families:
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?
Replacement cost options
(check all that apply):
 Dwelling:    Contents:
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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