Merchant Insurance
The Place for your Tech, Business & Personal Insurance .
Back to Home Page
Privacy Statement
Get A Quote
For Help Call (469) 633-0183
Fields marked (
*
) are mandatory.
Get a FREE Flood Insurance Quote
First Name:
*
Last Name:
*
Property Address:
*
City:
*
State:
*
Please select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
*
Contact Phone:
Contact Fax:
Email:
*
Structure Type:
Single Family
2 - 4 Family
Condo
Apartment
Condo Association
Non-Residential
Year Built:
Estimated Replacement Cost:
Building Type:
1 Floor
2 Floor
3 or more Floors
Split Level
Mobile Home
Attached Garage:
No Attached
One Car
Two Car
Three Car
Four Car
Foundation Type:
Cement Slab
Enclosed Crawl Space
Unfinished Basement
Piers/Piles/Posts
Solid Perimeter Walls
Personal Property Coverage Requested:
$0
$25,000
$50,000
$100,000
How Many Prior Flood Claims on this Property?
0
1
2
3+
Is the Property Currently in Escrow or being Refinanced?
Yes
No
Is the property within 1000 ft of water?
Yes
No
Have an Elevation Certificate? Fax to (925) 904-4807 or
Email
Need an Elevation Certifcate? Please go to
http://www.surveryamerica.net/directory