Cottage Insurance Quote - insurancebroker.ca

Complete the form below for a cottage insurance quote. Only those fields outlined marked by an asterisk (*) are required fields.

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Contact Information

Contact Name*

First Last

Cottage Address*

Street Address City Province Postal Code

Email*

Phone

Cottage Information

Owner Date of Birth

What is the square footage of your cottage?

What year was your cottage built?

Fire Protection

Is the cottage fully insulated, heated, and winterized?

Yes
No

Is the cottage located on an island and/or accessible only by water?

Yes
No

Is the cottage wholly or partially constructed of log, post & beam, or timber frame?

Yes
No

Does the cottage have a heat sensor?

Yes
No

Does the cottage have a professionally installed water alarm?

Yes
No

Does the cottage have a centrally monitored burglar alarm?

Yes
No

Does the cottage have a power outage detection alarm?

Yes
No

Insurance Information

Current Insurance Company

Cottage Insurance Expiry Date

Current insured value of your cottage

Number of claims in the last 5 years

Additional Comments

Cottage Insurance Quote Request

Cottage Insurance Quote Request

Contact Information

Cottage Information

Insurance Information

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