Name Estimate Your Earthquake Insurance Costs Our goal is provide you with the earthquake insurance policy at the lowest costs. We don't collect or sell your information First name * Last name * Address City State * Zip Code * Phone Number Email Address * Page 2 What Kind of Property is This? * Home Condo / HOA Mobile Home Renters Quote Needed for Which Package Option Basic Protection Comprehensive Coverage Select one or both Coverage Type Basic Protection Comprehensive Protection Dwelling Damage to the dwelling structure covered up to the Coverage A limit. Includes sublimits and exclusions for some types of property. Same as Basic Protection Other Structures Damage to appurtenant structures covered up to 10% of the Coverage A limit. Includes sublimits and exclusions for some types of appurtenant structures. Coverage for swimming pools is limited to $3,000. Same as Basic Protection with coverage for swimming pools increased to $25,000. Personal Property Damage to personal property covered up to 50% of the Coverage A limit. Includes sublimits and exclusions for some types of property. Same as Basic Protection with sublimit coverage increased in several categories. Loss of Use Loss of Use coverage provided up to 20% of the Coverage A limit or $25,000 whichever is less Loss of Use coverage provided up to 20% of the Coverage A limit or $100,000 whichever is less Building Code Upgrade Provides coverage for up to $10,000 if the dwelling meets the definition of earthquake hazard reduction. Same as Basic Protection. Loss Assessment Provides coverage up to $10,000 for loss assessment. Same as Basic Protection. Deductibles 5 percent, 7.5 percent, 10 percent, 15 percent, 20 percent and 25 percent deductibles available. Deductible applies separately for Coverage A, B, C and E. No deductible for Loss of Use Coverage. Same as Basic Protection. Year Built * Approximate guess ok Estimated Square Footage Number * Dwelling Amount * (Do not include land value) Lot Slope Flat Some Slope Steep Slope Construction Type * Brick Veneer Frame (Covered with Siding or Stucco) Solid Brick Stone Stucco Other Number of Stories 1 More than 1 Roofing Material Shingle Tile Slate Wood Flat Other Do You Have a Pool No Yes Would You Be Interested in Other Insurance Quotes? Homeowners Auto / Motorcycle / Boat Flood / Landslide Commercial Building Other No Thanks Check all that apply Comments / Questions