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Serving Western New York Since 1962
Lawrence Associates Agency, Inc. 2142 Ridgeway Avenue, Rochester, New York 14626 (585)227-7500 info@lawrenceagency.com
Lets Talk About
Your Homeowners Insurance Right Now!
(585) 227-7500
Your Home is one of your biggest investments. That is why it deserves the protection of our complete Homeowners Insurance plan.
At Lawrence Associates, we are qualified to help you review your options and choose the best combination of coverage, service, and price for your Homeowners Insurance.
You may need protection for:
- Your Home
- Other Buildings or Structures on your property
- Your Personal Belongings (including furniture, clothing, appliances, etc.)
- Additional Living Expenses
- Your Personal Legal Liability
Contact Us for more information or fill out our free online quote form below!
* Indicates Required Fields
*Contact Name:
*Date of Birth:
Social Security Number:
*E-Mail:
*Phone Number:
Policy Holder
Property Location
Address:
City:
State:
Zip:
Country:
Current Insurance Information
Company Name:
Current Annual Premium:
Expiration Date:
Deductible Desired:
Amount of Liability:
Have you filed for bankruptcy within the past 7 years?
Dwelling Information
Estimated Replacement Cost:
Square Footage:
Year Constructed:
How Many Floors?
Type of Construction
Other Features (Check all that Apply):
Claims
List any claims in past 3 Years
Date of Claim
Amount Paid
Claim Type
Description
1
2
3
Personal Property
Estimated Value of Your Personal Property
Jewelry & Watches:
Furs:
Silver:
Firearms:
Stamp and Coin Collections:
Fine Arts and Breakable Items:
Disclaimer Notice - The premiums quoted are estimates based on information you provided. This quotation does not constitute a contract of insurance, nor does it provide coverage for any loss or claim. Coverage can only be bound by an agent with a signed application and a down payment.
Homeowners Insurance
Don't own the place where you live?
Click Here for our Renters Insurance.
When was the last time the roof was updated (year)?
the heating?
the plumbing?
the electric?
Would you rather Print & Fax or Mail us your information? Click Here.
Additional Comments or Concerns:
Lawrence Associates
Agency Inc.
INSURANCE
