Property Insurance Quote Genraal Building Information APPLICANT INFORMATION Phone Your Postal Code * Type of property insurance policy Home Owner Condominium Tenant First Name * Last Name * Contact Number * Email Address * Address City State - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming In order for insurers to make their best offer, do you authorize them to obtain your credit information from credit agencies YESNO Dwelling replacement cost * Estimate the cost to fully rebuild the dwelling with similar materials and finishes, including labour, debris removal, etc. This is not the current market or the property assessment value, and does not include the value of the land. Distance to fire hydrant * Within 150m Within 300m Over 300m Distance to firehall * Within 5 KM Within 8 KM Within 13 KM Over 13 KM Building type * Detached Home Semi - Detached Row / Town House - End Unit Row / Town House - Inner Unit Duplex - Side By Side Duplex - Up & Down Triplex Construction type Solid Brick / Masonry Wood Frame Other Year built * Primary heating source * Central Furnace - Gas Central Furnace - Oil Central Furnace - Propane Central Furnace - Wood Electric Hot Water / Steam Combination Furnace Solid Fuel Solar Heat Pump Other Burglar alarm * NONELOCALMONITORED Fire alarm * NONELOCALMONITORED Date Of Birth * Years with residential insurance * Number of claims in the past 10 years * 0123+ Are all members of the household non-smokers? * YESNO