Greg Kelly Insurance Brokerage Ltd. - Serving Barry's Bay since 1983
 
   

Seasonal or Second Dwelling Insurance Quote

Please complete the following information. We will contact you the next business day with your
Seasonal or Second Dwelling Insurance quote.   Fields marked with * are required

 
   
Your Information  
       First Name*:
  Last Name*:
  Postal Code:
  Phone*:
  Email*:
  Date of Birth [Y/M/D]:    
  Gender: Male Female
  Marital Status: Married Single
 
Property Information  
  Year Built:
  :
  Number of Stories (excluding basement) :
  Basement? Yes No
 
  Distance to fire hydrant or firehall
     
Exterior  
  Walls (Solid Brick, Brick veneer, wood, aluminum)
 
  Update to Roof (ex. 2003)
   
  Detached garage (1, 2 car or more )
 
  Swimming pool: Yes No
     
Interior  
 

Flooring

  
  Hardwood (%)
  Ceramic (%)
 
  Carpet (%)
  Other* (%)
 
     
  Kitchen (basic or custom)
 
 
       
     
Utilities  
 
  Last plumbing update
  Heating & Air Conditioning
Type of Heating (oil, gas, electric)
  Age of furnace
  Age of oil tank and location (inside or out)
  Central air conditioning? Yes No
 
       
 
auto • home • commercial • farm • travel
 
 Bayberry Lane Designs