Free Homeowners Insurance Quote for New York from McCaffreyNaso.com

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Personal Auto, Homeowners Insurance from McCaffrey Naso, Inc. Insurance Agency

  Auto Insurance
  Home Insurance
  Boat/Watercraft
  Motorcycle Insurance
  Personal Umbrella

Commercial and Business Insurance from McCaffrey Naso, Inc. Insurance Agency

Commercial and Business Insurance from McCaffrey Naso, Inc. Insurance Agency

  Business Owners
  Commercial Auto
  Surety/Fidelity Bonds

Other Insurance Services from McCaffrey Naso, Inc. Insurance Agency

  Life Insurance
  Health Insurance
  Disability Insurance
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List of Carriers

McCaffrey Naso, Inc. Insurance Agency offers you a 100% Satisfaction Guarantee!

Online Homeowners Insurance Quotation Form One Simple Form - takes only 2-3 Minutes! Your Personal Data:

Your Name:
Property Address:
City:
State:	MUST be New York!
Zip/Postal:
E-Mail (REQUIRED):
Phone (REQUIRED xxx-xx-xxxx):
Fax (optional):

Social Security Number? (Some carriers use for Rating Purposes)
Okay to Run Insurance Reports?	Yes No

Dwelling Information

Year Home Built:
Home Square footage: (Ground floor area)

Is this Builder's Risk? (new home constr.)	Yes No

Month/Year home to be complete:

Number of units:	1 Family 2 Family 3 or more Family

Occupancy Type:	Owner occupied Tenant occupied Seasonal Dwelling Vacant or For Sale (describe in remarks if vacant or for sale.)

Type of construction	Wood Frame Brick Cement Block

Type Roof:	Shingle Wood Shake Tar/Gravel Slate Metal Other

Number of stories:	One 1.5 Two Trilevel

Type of foundation:	Slab Crawlspace Basement Other (list in remarks)

Building/Utility Updates:	List Year and Improvement
	Year and What Done
Roof
Plumbing
Electric
Heating

Heating - Oil or Gas
Location of Oil Tank
Age of Tank
Solar Panels?	Yes No

Kerosene Heaters?	Yes No

Is there a trampoline on premises?	Yes No

Do you own animals or pets?	Yes No

If yes, list type/for dogs, list breed:

Do you have a swimming pool?	Yes No
If yes, list descibe fencing and diving board:

Other structures/outbuildings on premises?	Yes No
If yes, describe outbuildings and values:

Circuit Breakers or fuses?	Breakers Fuses

Fireplace or Woodburning Stove? (If yes, describe):

Any business conducted on premises? (If yes, please describe in detail):

Currently Insured?	Yes No

Current Carrier and Expiration Date?

Prior Claims?	Yes No
(If yes, describe claims in detail, and how problems corrected):

# Bedrooms: # Bathrooms:

Garage or Carport?: # of cars, attached/detached?

Special features
(i.e., deck, air conditioning, alarm systems, jacuzzi, screened porch, etc.)

Safety Features:

Smoke Detectors? Yes No

Dead Bolts on all Exterior Doors? Yes No

Fire Extinguishers? Yes No

Central Station Fire Alarm? Yes No

Central Station Burglar Alarm? Yes No

Coverages:

Dwelling Cov. $ Contents $

Liability Cov. $ Deductible $
($500, $1,000, $2500):

Comments/Remarks
(describe any scheduled jewelry, in-home business, or other special coverages needed here):

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McCaffreyNaso.com, A Service of McCaffrey-Naso Inc.
115 N Broadway, PO Box 8, Hicksville, NY 11802-0008
E-Mail: officemail@mccaffreynaso.com
Phone (REQUIRED xxx-xx-xxxx): 1-516-681-2500 - Fax: 1-516-681-2512
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