Home
About
Quote
Contact
January 22, 2021
ABOUT PINECREST INSURANCE
OUR CARRIERS
INSURANCE PRODUCTS
Personal
Homeowner
Free Online Quote
Earthquake
Free Online Quote
Auto
Free Online Quote
Condo
Free Online Quote
Renters
Free Online Quote
Mobile Home
Free Online Quote
Landlord Property
Free Online Quote
Personal Umbrella
Free Online Quote
Recreational Vehicle
Motorcycle/ATV
Free Online Quote
Boat/PWC
Free Online Quote
RV
Free Online Quote
Commerical
Free Online Quote
FREE ONLINE QUOTES
Personal Quotes
Home
Earthquake
Auto
Condominium
Renters
Mobile Home
Landlord Property
Personal Umbrella
Recreational Vehicle Quotes
Motorcycle/ATV
Boat/PWC
RV
Business Quote
CLAIMS REPORTING
CONTACT US
Homeowner Quote
How Did You Hear About Us?
How did you hear about us?
Select One
I am a Current Pinecrest Customer
Referred by a Friend
Web Search
Phone Book
Other
Policy Holder
Contact Name *
Home Phone
Work Phone
Cell Phone
Email *
Preferred Contact
Home Phone
Work Phone
Cell Phone
Email
Mailing Address *
City *
State (CA Only) *
CA
Zip Code *
County
Occupation
Date of Birth (mm/dd/yyyy)
Married?
Yes
No
Spouse Name
Spouse Date of Birth (mm/dd/yyyy)
Spouse Occupation
Property Location
Address *
City *
State (CA Only)
CA
Zip *
County
Current Insurance Information
Company Name
Current Annual Premium
Expiration Date (mm/dd/yyyy)
Deductible Desired
$500
$1,000
$2,500
Amount of Liability
$300,000
$500,000
$1,000,000
Earthquake Coverage Desired?
Yes
No
Dwelling Information
Year Constructed *
Square Footage *
Number of Stories? *
1 Story
1.5 Story
2 Story
Bi-Level
Tri-Level
Other, Please Explain
Updates (Required if home is more than 20 years old)
Heating
Plumbing
Electrical
Roof
Exterior Paint
Other, please explain
Garage Attached/Detached? *
Attached
Detached
Other, please explain
Garage - How Many Cars? *
Type of Roof *
Composition Shingle
Concrete Tile
Clay Tile
Slate
Wood Shake
Type of Foundation *
Concrete Slab
Raised (Crawl Space)
# of Bedrooms *
# of Full Bathrooms *
# of Half Bathrooms *
# of Fireplaces *
Pets *
Yes
No
If yes for Pets, please explain Breed and Biting History for each pet.
Other Features (Select all items that apply) *
Interior Fire Sprinklers
Homeowners Association (HOA)
Trampoline
Alarm System
Alarm System Monitored for Fire/Theft
Dead Bolt Locks
Smoke Detectors
Fire Extinguisher
Home Located within 5 miles of Fire Station
Home Located within 1000 feet of a Fire Hydrant
Home located within City Limits
Neighborhood Watch/Gated Community
Pool
Pool Diving Board/Slide(Stand Alone)
Yard Fenced
Spa
Other, please explain
Business on Premises? *
Yes
No
If Yes, what type of business?
Type of Construction *
Wood
Stucco
Masonry
Brick Veneer
Aluminum Siding
Other, please explain
Claims
List any claims in past 3 years:
Claim Date
?
Amount Paid
Claim Type
Description
1.
2.
3.
* = Required Field
Disclaimer Notice
- The premiums quoted are estimates based on information you provided. This quotation does not constitute a contract of insurance, nor does it provide coverage for any loss or claim. Coverage can only be bound by an agent with a signed application and a down payment.
Send