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Apartment Owners Quote


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

First Name
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Last Name
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Street
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City
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State
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ZIP / Postal Code
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Primary Phone Number
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E-Mail Address
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Apartment location address
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Ownership Type
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Current Insurance Provider
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Current Policy End Date
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/ /
Deductible
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Claims/Property Losses in Past 5 Years (Please Explain)
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Number of Stories
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Year Built
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If built prior to 1990, any updates to roof, electrical or plumbing?
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Submission Validation
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.
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Robert L. Richards Office
  39108 Pagosa Springs Drive
     Temecula, CA  92591
Phone: 951-461-9585
Email Us		 Corporate Office
1725 S. Gaffey Street
San Pedro, CA 90731-4605
Phone: 310-521-4480
Fax: 310-521-0111
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