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The Big Umbrella
Fall 2009
Summer 2009
Step One:
Complete Form
Step Two:
Review and Submit
Step Three:
Finish
Welcome to
E-Z Quote - Flood
from A&M.
For fast service on your California flood risks complete the form below and hit the “Step Two” button. Your submission will be electronically delivered to our Flood Underwriter.
* Note: If you do not have the Flood Zone or Community Number we will obtain it for you after we receive your submission.
Applicant Name:
Location address:
City:
State:
CA
Zip Code:
County Name:
* Flood Zone:
* Community
Number:
Year Built:
Dwelling Type:
Single Family
2-4 Family
Commercial Bldg.
Condo Master
Number of Floors
(including basement):
1
2
3
Split Level
Mobile
Townhouse with 3+ Floors
Basement?
No
Yes
If yes:
Finished
Unfinished
N/A
Amount of Coverage
for
Building
:
$
Deductible:
$500
$1000
$2000
$3000
$4000
$5000
Amount of Coverage
for
Content
s:
$
Deductible:
$500
$1000
$2000
$3000
$4000
$5000
Comments & other Material Information:
Agency Name
:
Phone Number:
Fax Number:
E-mail Address:
(You will get a summary page to review before submitting)