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Home/Condo/Builders Risk
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Life
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AUTO QUOTE INFORMATION:

 
County:
Number of Autos:
Anyone driving the car with more than 3 moving violations? Yes
No
Any claims within the last 3 years? Yes
No
Current carrier
Price we need to beat:

 

HOME/CONDO/BUILDERS RISK QUOTE:

Full property address:
County:
Is this your primary residence? Yes
No
Any claims within the last 3 years? Yes
No
Type of property: Home
Condo
Builder's Risk
Insured Value:
Year structure built:
Square footage:
Closing date (if applicable):

 

COMMERCIAL QUOTE:
Type(s) of Commercial Quote Desired: Workman's Comp
General Liability
Contractor's Policy
Commercial Auto
Commercial Property
Business Owner's Policy
Errors & Omissions
Bonds
Business Name:
Business Legal Status: Sole Proprietor
LLC
Inc.
Other:
Estimated annual revenues:
Estimated annual payroll (excluding owners):
Current carrier:
Price we need to beat:
Brief description of your business:

 

LIFE QUOTE INFORMATION:

 
County:
Type of life insurance you need: Term Life
Whole Life
Universal Life
Variable Life
Don't know
Age:
Date of Birth:
Any health conditions? Yes
No
Sex: Male
Female
Height:
Weight:
Amount of life insurance needed:

 

HEALTH QUOTE INFORMATION:

 
County:
Age:
Date of Birth:
Any health conditions? Yes
No
Sex: Male
Female
Height:
Weight:
Smokerwithin last 3 years? Yes
No
Smoker within last 6 months? Yes
No

 

DISABILITY QUOTE INFORMATION:

 
County:
Age:
Date of Birth:
Any health conditions? Yes
No
Occupation:
Monthly Benefit Amount Desired:

 

OTHER QUOTE INFORMATION:

 
County:
What type of insurance do you need?

CHARLESTON
525 Folly Road
Charleston, SC 29412
(866) 285-5173 toll-free
(843) 795-0189 office
(843) 795-5708 fax
Get Directions/Map It

NORTH CHARLESTON
2151 Ashley Phosphate Road Suite B
North Charleston, SC 29406
(843) 797-8041 office
(843) 569-4557 fax
Get Directions/Map It

GREER
PO Box 1340
Greer, SC 29652
(864) 469-6985 office
(864) 236-4049 fax

GREENVILLE
109 Lovett Drive - 2nd Floor
Woodruff Road Corp. Center
Greenville, SC 29607
(866) 285-5173 toll-free
(864) 676-9696 local
(864) 676-1556 fax
(843) 224-4988 wireless
Get Directions/Map It

ESTILL
428 Railroad Avenue NE
Estill, SC 29918
(803) 625-3701 office
(803) 625-0124 fax
Get Directions/Map It

BEAUFORT
Newpoint Corners
2 Merchants Lane - Ste 112
Beaufort, SC 29907
(843) 812-8881 office