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Online Home Coverage Quote Form

Where required, please enter information in the specific format provided. All questions marked with * require an answer

Have you ever had or do you currently have any other insurance with us?
Yes
No
Have you had any insurance refused or subjected to special terms?
Yes
No
Have you had any losses during the past 3 years?
Yes
No
Have you been convicted of, or charged but not yet tried for, arson or any offence involving dishonesty of any kind, such as fraud, robbery, theft, or handling stolen goods?
Yes
No

Building Construction

The buildings are:

Fitted with burglar bars or security screens?

Single choice
Yes
No

Fitted with alarm systems

Single choice
Yes
No

In a state of good repair?

Single choice
Yes
No

Fitted with storm shutters?

Single choice
Yes
No

Equipped with fire extinguishers?

Single choice
Yes
No

Used for business purposes?

Single choice
Yes
No
Have there been any claims in the last three (3) years?
Yes
No
Was the property built in full accordance with The Bahamas Building Code?
Yes
No

Coverage

Type of coverage sought?
Full Perils (with hurricane)
Restricted Perils (excludes hurricane)
Coverage required FROM
Day
Month
Year
Coverage required TO
Day
Month
Year

Sums Insured

The following starred (*) questions are mandatory. Please enter a figure in each and a total at the end. Please enter $0 if the section does not apply.

Note: seawalls, canal walls, docks, satellite equipment and television antennae are NOT included under "Buildings" and should be separately insured below.

Replacement cost: Can you replace items 1-6 for the amounts stated?
Yes
No
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