Email: dmathews@ma-insurance.com | Address: 840 Liberty Street, Springfield, Massachusetts 01104
 
 
 
 
Sullivan Keating & Moran Insurance Agency of Springfield Inc.
 
INSURANCE AGENCY OF SPRINGFIELD INC.
 
It's a good policy to know your agent!
 
 
Call Us:
 
 
 
 
 
 
 
 

Online Quotes

Homeowners Quote Form


 

Personal Information

 
 
 
 
 
 
 
 
 
 
 

Home Owners Information Only

Previous Address (If you have been at the above address for less than 3 years)
 
Address:
 
 
 
More Address:
 
 
 
City:
 
 
State:
 
 
Zipcode:
 
 
 

Mortgage Information

 
Mortgage Company Name:
 
 
 
Mortgage Company Address:
 
 
 
City:
 
 
State:
 
 
Zipcode:
 
 
 
Loan Number:
 
 
Current Insurance Company:
 
 
 
What is the expiration date of your current Homeowners Insurance Policy?
 
 
Do you own or rent?
 
 
 

Coverage amount or limit of liability requested

 
Home:
 
 
Other structures (detached garages for example ):
 
 
 
Personal property or contents:
 
 
Loss of use:
 
 
 
Personal Liability Limit?
 
 
Medical Payments
 
 
 
Deductible Deductible for property coverages?
 
 
Construction Type:
 
 
 
Year Built?
 
 
Market Value:
 
 
 
Distance to nearest fire hydrant in feet:
 
 
Distance to nearest fire hall in miles:
 
 
 
Do you have smoke detectors?:
 
 
Do you have burglar alarms?:
 
 
 
 
 
 

 
 
Is any business conducted within this home?:
 
 
 
Has any coverage been declined, cancelled or not-renewed during the last 3 years
 
 

 

If you rent answer the following questions:

 
What is the replacement cost value of your personal items?:
 
 
What deductible would you prefer for your rental policy?
 
 
 
What is the replacement cost value of your personal items?: