Generazio Associates, Inc.

Property Coverage Quote

For the quickest and most accurate insurance quote, please provide as much information as possible in the form below.

THIS INFORMATION WILL BE KEPT CONFIDENTIAL
AND WILL BE USED FOR QUOTING PURPOSES ONLY!

Name Of Business:

Contact Name:

Address:

Phone:

Best Time To Contact:

Fax:

Email:

Business Information

Legal Entity

Industry:

Business Description:

Years In Business:

Currently Insured:

Current Carrier:

Current Premium Range:

Claim Information (mm/dd/yyyy):

Date Coverage Needed:

Other Info Your
Agent Needs:

Property Description

Construction type:

Number of Stories:

Year Built:

Approx Sq Ft.:

Building Value:

Contents Value:

Basement:

Roof Type:

Sprinkler:

Loss of Rents:

# Of Apartments:

Alarms:

Year Updated

Wiring:

Heating:

Plumbing:

Roof:

Generazio Associates, Inc.
265 Broad Street Bloomfield, NJ 070073 Phone: 973-429-8100 Fax: 973-429-9763	515 Washington Road Parlin, NJ 08859 Phone: 732-257-2600 Fax: 9732-257-7921