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Our Florida
Homeowners Insurance
Customer Testimonials
and Pricing Examples:

"I purchased a $389,000 Homeowners policy with a $1000 Deductible/2% Wind, with $300,000 Liability for ONLY $929 PER YEAR. And best of all, we wrote the policy over the phone in just 10 minutes!"
– Stacey S., Boca Raton, FL

"We saved so much money on our homeowners insurance. They helped us set up a wind mitigation and we ended up getting a policy with $250,000 dwelling coverage, $300,000 Liability for only $816 per year! We tell all our friends what great rates and service they have."
–Rob & Michelle D., Sarasota, FL

"I couldn't believe the rates I got! I shopped around quite a bit and they were the cheapest by far. Thanks for taking the time to shop my insurance through so many companies and save me so much money!"
– Donna P., Bradenton, FL

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About Our Agency
Privacy Notice

Cornerstone Insurance
Services, LLC
533 N State Road 7
Margate, FL 33063
Phone: 954-971-7662
Fax: 954-971-3902
Email Us At:
cornerstoneinsurancefl@gmail.com

« Online Quick Quote » Florida Home Insurance Quote Request Form One Simple Form - takes only 2-3 Minutes! Your Personal Data:

Your Name:	First: Last:
Property Address:
City:
Your "County" is?
State (Must be Florida):
Zip/Postal:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
Fax (optional):

Primary Policyholder's Birthdate: (REQUIRED - Some companies products offer discounts for certain age groups.)


Dwelling Information

Year Home Built:
Home Square footage:

Number of units:	1 family Duplex

Is this Home a New Purchase?	Yes No

Is this Your Primary Home?	Yes No

Is Home Going to Be Rented to a Tenant?	Yes No


Type foundation:	Slab Basement Crawlspace over slab Other (list in remarks) (If basement, what % is finished?) % FINISHED

Type Construction:	Frame Brick/Veneer Concrete Block/Masonry Other (list in remarks)

Type Roof:	Shingle Wood Shake Tar/Gravel Spanish Tile Metal Other

Has the Roof Been Replaced?	Yes No
If yes, what year was roof replaced?

Burglar or Fire Alarms:	No Alarms Yes, Alarm/Not Monitored Yes, Monitored Burglar Only Yes, Monitored Burglar & Fire

Gated Community?	No Yes, Passkey Gates Yes, Gates and Guard

Number of stories:	One 1.5 Two Three

Do you own animals or pets?	Yes No
If yes, list type/for dogs, list breed:

Do you have a pool cage or screen lanai?	Yes No

Do you have a pool slide, diving board, or trampoline (if yes, list in remarks)?	Yes No

Any bankruptcy, judgments, or foreclosures in past 5 years?	Yes No

Is the distance to the Fire Station 5 road miles or less?	Yes No

Is the distance to the Fire Hydrant 1000 feet or less?	Yes No

Does Home Have a Garage?	Yes No
Tell whether built in, detached/attached, and how many cars?

Currently Insured?	Yes No
Name of Carrier & how long insured? If Canceled, how long ago?

Prior Claims?	Yes No
Describe claims in detail:

Circuit Breakers or fuses?	Breakers Fuses

# Bedrooms: # Bathrooms:

# Fireplaces: # Chimneys:

Special features
(i.e., deck, air conditioning, alarm systems, pool, etc.)

Coverages:

Dwelling Cov. $ Contents $

Liability Cov. $ Deductible $
($250, $500, $1,000, etc.)

Comments/Remarks
(describe any scheduled jewelry, in-home business, oil tank location, or other special coverages/remarks here):

Send my quotation via: E-Mail Fax
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We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

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Our FloridaHomeowners InsuranceCustomer Testimonials and Pricing Examples:

Our Florida
Homeowners Insurance
Customer Testimonials
and Pricing Examples: