"Purchase a Auto Policy & $ave More" "Extra $avings for Family Policies"

 

               Free                        No hassle                     No obligation                       Quote               

                         

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Completing our online quote request form is easy !!
Complete our easy online quote request form, and we will do the rest. Upon receiving your request, our licensed agents will do all the price shopping for you, by selecting the most competitive rates and reputable companies. You will receive your online quote instantly and accurately based on the information you provide. When you are ready to start your insurance, contact us and one of our licensed agents will set you up right away.

Our Privacy Policy
We want you to know that we respect your privacy; and we protect your information. We do not sell customer or prospect information. We do not share your information with persons, companies, or organizations outside of Fariņas Insurance that would use that information to contact you about their products and services. We keep all your information confidential. We convey to our employees about the need to protect your information. 

We're here to help
If you would like to speak directly to one of our licensed agents, please feel free to contact us.

Client Information

 

First Name:
Last Name:
Street:
City:
State:
Zip:
Daytime Phone:
Evening Phone:
Fax:
Email:
Square Footage:
Dwelling Value:
Year Built:
Number of Units:
Construction Type:
Roof Type:
More than1000 feet from fire:
Fire Department:
Distance to nearest fire stati:
Fire Extinguisher:
Smoke Detector:
Deadbolts:
Type of fire sprinklers:
Type of fire alarm:
Type of theft alarm:
Liability coverage:
Medical payments:
Policy deductible:
Have you filed a previous home:
Date of last claim:
Current policy with:
Current policy expires:
How did you hear about us:
Comments:

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