It is important to periodically review your personal insurance program to determine
if we are still providing the best solutions for your needs. To assist us with this
review, we ask that you take a few minutes to answer the following questions:
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Personal Automobile – If we currently provide your automobile insurance, please
answer the following:
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1. Are you interested in increasing your automobile liability, physical damage and/or uninsured
liability limits? Higher limits may be available at more competitive rates.
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2. Are there any cars and/or licensed drivers in your household that are not listed on your
automobile policy?
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3. Do you want to make changes to rental reimbursement and/or towing & labor coverage?
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Homeowners/Personal Property – If we currently provide your homeowners and/or personal
property insurance, please answer the following:
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1. Would you like to review the adequacy of the current insured value of your home,
other structures or personal property/contents coverage? |
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3. Have you made (or are you planning to make) any additions or renovations to your
home? |
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4. If you own a condominium or co-op, do you need coverage for any upgrades, alterations
or permanently installed fixtures? These items may not be covered under the association’s
master policy. |
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5. Are you interested in finding out about mold coverage and the limitations on your policy or purchasing additional coverage?
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6. Earthquake and Flood coverages are excluded from most homeowner policies. Are you interested in finding out more about this coverage?
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7. Do you need us to provide coverage for a secondary residence or any other properties
that you own? |
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8. Many homeowners policies do not include back up coverage of sewers, drains and
sump pump failure. Would you be interested in getting a quote for this coverage? If you have this coverage, are you interested in a quote for a higher limit? |
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9. Many homeowners insurance companies have instituted hurricane
and windstorm deductibles that are separate and much higher than what is typical.
Would you like to review your policy to determine if there has been a deductible
amounts would apply for a particular loss?
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10. If you own a coastal property, wind coverage may be excluded. Are you interested in finding out about this coverage?
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11. Do you operate a business out of your home? Most homeowners policies provide
little or no coverage. |
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12. Do you have an underground fuel oil tank? Coverage may be excluded or limited on your policy. Do you want to review this exposure?
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13. There are special limitations on jewelry, silver, furs, collections, fine arts,
etc., within your homeowners policy. Coverage for these items can be increased or
specifically scheduled. Would you like to review your coverage needs for these items? |
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Other Coverages
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1. Are you interested in a Personal Excess Liability Policy (Umbrella), or higher
liability limits than you presently carry? An additional $1M in liability coverage can cost approximately $250. |
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2. If you have any automobiles, recreational items or properties insured elsewhere
and have a Personal Excess Liability Policy (Umbrella) with us, do you have liability limits with us of at least $300,000? |
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3. Do you serve as a director, officer or member of a board for a public, private
and/or non-profit organization? |
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4. Do you need coverage for any recreational items such as watercraft, jet skis, ATVs,
motorcycles, snowmobiles, aircraft, etc.? |
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5. Do you have domestic employees working in your home(s)? Your homeowners policy may provide limited Worker's Compensation coverage for domestic employees. You may need additional Worker's Compensation and/or Employment Practices Liability Coverage.
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6. Would you like us to contact you regarding:
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7. Good student grades, driver training, centralized alarms, home ownership, and multi-policy discounts are just a few examples of the discounts our carriers offer you. Please let us know if you have experienced any changes that would affect your eligibility for discounts |
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8. Are there any other areas not covered by these questions that you wish to discuss
regarding your insurance program? |
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We appreciate you taking the time to
complete this form. Once we receive the
form we will update our records and if
necessary contact you. Thank you for
allowing Bollinger an opportunity to be of
service.
Sincerely,
Personal Lines Agent
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