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Chas. F. Hartshorne & Son, Inc.
3 Chestnut Street
Wakefield, MA 01880
781-245-4300
info@hartshorneins.com
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Request for a Tenant Insurance Quote
By completing and submitting this form, you agree hat no coverage is bound and no policy is in effect until you are contacted by one of our agency representatives. All information submitted is held in the strictest confidence and is only gathered for the purposes of providing you an insurance quote. To provide the most accurate quote possible, please complete all areas that apply.
General Information
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Address
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Property Location
Street Address
City or Town
State
Select a State
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
ZIP Code
Current Insurance Information
(not your agency information)
Insurance Company Name
Current Annual Premium
$
Expiration Date
Personal Property Coverage
$
Loss Assessment Coverage
$
Personal Liabilty
$100,000
$300,000
$500,000
Deductible Amount
$250
$500
$1000
Replacement Cost Coverage
Yes
No
Special Coverage:
Jewelry
Silverware
Earthquake
Furs
Guns
Other:
Additional Comments
© Copyright 2007-2012 •
Chas. F. Hartshorne & Son, Inc.
(All rights reserved)
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employee access
last updated on Friday, March 02, 2012