Durkin & DeVries Insurance Providing Homeowners Insurance in Boston, Massachusetts. Apartment Quotation

Durkin DeVries and Pizzi, Homeowner Insurance in Boston Massachusetts.

For an Apartment 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):

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?

Coverage Information

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:
Jewelry: vaulted?	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.