
We are a multi-line agency offering competitive commercial and personal coverage through top-rated insurance companies. Our firm is staffed by proven professionals committed to providing our clients with highly personalized service.
ADDRESS
5001 Mayfield Rd Ste 304
Lyndhurst, OH 44124
Ph(216) 382-4040
Fax (216) 382-4420
| How many drivers are in your household? | * |
| Include yourself, your spouse, anyone of driving age in your household, and all other drivers of your vehicles. | |
| How many cars are you insuring? | |
| Do you currently have car insurance? | |
| Your currant insurance company | |
| How did you hear about us? | |
| Continue to Next Step | |
| First Insured - Driver #1 | ||
|---|---|---|
| First Name: |
Middle Initial |
Last Name |
| Address |
Address 2 |
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| City |
State |
Zip |
| My home at this address is |
Email |
|
| Home Phone |
Other Phone |
|
| Marital Status |
Date of Birth |
NEXT |
| Car #1 | |
|---|---|
| Car Year | * |
| Car Make | * |
| Car Model | * |
| Sub Model / Style | * |
| What is this car used for? | * |
| If used to commute to work, what is the mileage one way? |
| Do you want comprehensive coverage? (Fire, Deer, Theft, Vandalism, Glass) | - Yes - No * |
| Do you want collision coverage? (Upset and Overturn) | - Yes - No * |
| Do you have your Vehicle Identification Number (VIN) handy? | - Yes - No * |
| Do you want Towing & Labor coverage? | - Yes - No * |
| Do you want Rental Reimbursement coverage? | - Yes - No * |
| Minimum | Economy | Average | Above Average | |
| Liability Shown per person/per occurence |
$25,000/$50,000 | $50,000/$100,000 | $100,000/$300,000 | $250,000/$500,000 |
| Personal Injury Protection Shown per person |
$50,000 with $200 Deductible |
$75,000 |
$100,000 |
$150,000 |
| Uninsured-Underinsured Motorist Shown per person/per occurence |
$25,000/$50,000 | $50,000/$100,000 | $100,000/$300,000 | $250,000/$500,000 |
| Comprehensive & Collision Coverage |
To be provided as chosen |
To be provided as chosen |
To be provided as chosen |
To be provided as chosen |
| Rental Reimbursement & Towing & Labor |
To be provided as chosen |
To be provided as chosen |
To be provided as chosen |
To be provided as chosen |
| My coverage limits most closely match: * | ||||
| I would like a quote for the following coverage limits: * |
| How soon do you need a quote? | * |
| What is your current insurance expiration date? | * |
| What is your current annual insurance premium? | * |
| Would you like to add another car? | - Yes - No |
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