Request for Proposal
Special Online discount insurance applications will never save you money on your home or vehicle.
Discount insurers never provide you with the right coverage for YOU.
Everybody needs different coverage. Use the Request for Proposal below, to get all of the coverages that you need.
Download the document here: Request for Proposal – ThePlan
RFP – Request for Proposal
Dear Insurance Agent:
I am interested in receiving a quote from you to insure my home, co-op, rental dwelling that I now own or am about to rent.
Please take careful notice that I have submitted a separate “Owners Information Form”
Please complete the form in its entirety. A blank line will indicate to me that you do not offer the coverage requested. To assist getting a prompt reply from you, I have enclosed a self-addressed stamped envelope, or you can e-mail your quote to me at __________________.
If you have any questions, I invite your call and I look forward to your prompt response.
Be sure to enclose a self-addressed, stamped envelope or a fax number where they can send the written quote, so that they don’t have to delay your quote.
Owners Or Renters Information
Mr. Mrs. Ms. Dr.
Last ______________________ First _______________ Initial ____
City __________________________ State _____ Zip ___________
Phone: Day ( ) ______________ Eve ( ) ________________
SSN ________ _____ [ ] Male [ ] Female
DOB ___ \ ___ \ ___
Single [ ] Divorced [ ] Married [ ]
I am presently insured with ______________________ Insurance Co.
My present insurance expires on ___ \ ___ \ ____.
I have worked in my present job for [ ] years
I have filed [ ] claims in the last 5 years
City ________________ Zip _______ County ___________
Year Built _____ # of Stories, _________ Square Feet. _____
Type of Construction [ ] Masonry [ ] Frame [ ] Other _______________
Distance to fire department _________ blocks/ miles.
Distance from fire hydrant ___________ Feet/ yards/ miles
Smoke detectors in each room? Y/ N , Total ______ in dwelling.
[ ] Central station alarm Y / N Company ____________________
[ ] Alarm system: Manufacturer _____________________
[ ] Outbuildings Y/ N [ ] Garage [ ] Barn [ ] Rental Unit
[ ] Swimming pool
[ ] I have current photos of the interior and exterior of this dwelling and its contents to attest to these statements Y/ N
Based on the information above, please quote prices on each of the coverage’s below. I will choose the coverage I want after a price for each has been quoted. If you do not sell insurance as written please mark each coverage N/A (not available).
Circle appropriate coverage
HO 1 Standard Fire medical payments and policy
HO 2 Broad form
HO 3 Special Homeowners
HO 5 Comprehensive Homeowners
Coverage A: Structure Rebuilding cost of
Coverage B: Personal belongs and Contents coverage
Coverage C: Out Buildings
Coverage D: Additional Living Expense
$100,000, $300,000, $500,000, $1,000,000, $ __________________
Circle only one
$500, $750, $1,000, $ __________________
Homeowners Coverage’s With Explanations
The following are the endorsements available in most states. Some endorsements add value to the base policy and some endorsements subtract value. READ and ask QUESTIONS of the Agent.
Special Personal Property Coverage’s
This provides coverage for personal property against all types of loss, except those excluded in the endorsement.
Structures rented to others (Residence Premises Only)
It provides coverage for a structure in your residence/ premises that you rent to others for dwelling purposes.
Provides coverage for a joint owner of the residence premises who is NOT shown in the Declarations as a NAMED insured.
Building Code Upgrade
Provides coverage for the cost to upgrade the insured building to current building codes following a loss.
Each state has its own individual laws regarding the types of insurance coverage’s available and way that the Insurance Department works to regulate the insurance industry.
To get more information from your State Insurance Commission, either call them or write to get the information you need. Use the letter below or modify it to suit your needs.
Dear Insurance Commissioner:
Please send me the following information on home insurance:
- Minimum coverage requirements and explanations of each.
- A list of coverage’s and definitions which are available in this state.
- Details of how to properly document and file a first party claim.
- An approved or prototype claim form for first party claims.
- Details of how to properly document and file a third party claim.
- An approved or prototype claim form for third party claims.
- List of consumer complaints against insurance companies.
- Pamphlets, newsletters or press releases on home insurance.
Your speedy cooperation will be appreciated. Thank you,
City: _____________ St.: ___ Zip: _______________________
Home Phone _________________________________________