Gordon K. Harden & Son
Serving the Community since 1948
 
8 Greenspring Valley Rd., Suite 04
Owings Mills, MD 21117
410-363-1633
410-363-8218 (fax)
email Agent

Our agency is licensed to quote and write insurance policies only in Maryland. To find agents offering these coverages in all other states, please click the IQ.net logo.

 



Personal Details -
The following information is required for our agency to quote
Name
Address
City
State
Zip Code
Day Phone
Evening Phone
email Address


Location Details
Yes No Not sure
Is there a fire house with 5 miles of your home?
Is there a fire hydrant within 1000 feet of your home?
Do you have a monitored central alarm?


Condominium Owner/Tenant Insurance Questions
Have you made any permanently attached improvements. In a condo bookselves, new cabinets or wall to wall carpeting etc are normally your responsibility. If so what is the value of such improvements.
What is the estimated replacement value of the contents of your dwelling?
Have you made any permanently attached improvements? In a condo bookshelves, new cabinets or wall to wall carpeting etc are normally your responsibility. If so what is the value of such improvements.
Dwelling type?
Do you operate a business from your home?
Yes No
If yes please describe in the remarks section


Coverage Questions
What deductible would you like for your home owners policy?
 
Current or Desired Contents Limit
Replacement Cost Included? Yes No
Do you have high vale items listed and insured separately?
Yes No  
Please specify details in the remarks section.
What amount of liability coverage do you want?
 
Do you currently have a policy in force?
  Yes No  
If Yes, what month does your policy expire?
 


Claim History
Have you made any claims on a dwelling insurance policiy in the last 5 years? Yes No
Description of Claims
Date of claim Cause Amount


Remarks
Please enter any additional information that you think may assist us in providing you with a faster and more accurate quote.




This page and site has been developed and maintained by InsuranceQuote.Net
© Gordon K. Harden, Jr. 1996-2001
mail to: gkh@InsuranceQuote.net
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Page Created 2-22-97
 
 
Latest Revision 9-25-02