NY insurance graphic
new york insurance quotes
Fast Insurance Quotes by Phone or On-line from our New York Insurance Center.
Time Saving Cost Comparisons & Quality Service... Call Us Today!

 
New york auto insurance graphic

Low Cost
Insurance

High Quality
Service!


Call Us for a
RUSH Quote.
We can place
Coverage
INSTANTLY!

 
Or, Get A FREE
Quote On-Line

 
 
   Automobile Insurance
   "D.W.I." Auto Insurance
   Homeowners Insurance
   Mobilehome Insurance
   Renters Insurance
   Personal Umbrella
   Motorcycle & ATV
   Boat & Jetski Insurance
   Snowmobile Insurance
   Motorhome/Travel Trailer
   Business Owners Insurance
   Commercial Auto Insurance
   Contractor's Insurance
   Surety/fidelity Bonds
   Workers Compensation
   Landlord's Insurance
   Restaurant Insurance
   Life Insurance

Service Your Account

 
Contact Us
 
 
E-Mail:
john@joinsurance.com

Phone:
Toll Free:
866-353-8817
Direct Line:
716-823-1801

Facsimile:
716-823-2483

Mailing Address:
John Obstarczyk
Insurance Agency
16 Lake Ave.
Blasdell
NY 14219

More About
Our Agency!


insurance graphic
Our carriers offer 10% off your Home and Auto Insurance when we write both policies.

"Remember,
All Our Policies
Come with an Agent!"

We Are Proud Members of the Better Business Bureau!

insurance graphic
insurance
 
Landlord's Insurance
Quote Request Form
One Simple Form - takes only 2-3 Minutes!


 
Your Name:
Business Name:
Property Address:
City:
State: (Must be New York)
Zip/Postal:
E-Mail (REQUIRED):
E-Mail
(again for accuracy):
Phone:
Fax (optional):
 
 
Dwelling Information
 
Year Building Built:
Building Square footage:
 
Occupancy: Owner Tenant
 
Occupancy Type:
(describe entities & and number of units, such as "4 unit apartment" or "2 offices and barber shop", etc.)
 
Type foundation: Slab
Crawlspace over slab
Pier & Post
Other (list in remarks)
 
Type finished basement, if any: None Full
25% 50% 75%
 
Type Roof: Shingle Wood Shake
Tar/Gravel Spanish Tile Metal Other
 
Type of Siding Brick   Vinyl
Wood   Aluminum
 
Number of stories: One Two
Three 4 or more
 
# of feet to nearest
fire hydrant:
# of miles to nearest
fire station:
 
Currently Insured? Yes No
Name of Carrier & how long insured?
 
Prior Claims? Yes No
Describe claims in detail:
 
Plumbing type: Copper Galvanized
Mixed (Copper/Galvanized)
 

 
Coverages:
 
Building Cov. $ Contents $
Liability Cov. $ Deductible $
($250, $500, $1,000, etc.)
 
Other Coverage/Remarks
(describe any extra coverages needed such as business interruption, robbery, computers, etc.):
 
Send my quotation via: E-Mail Fax
Regular Mail
Call Me by Phone

Thank you for filling out this form COMPLETELY!

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.

Yes, I Agree. Please Send Me a
Landlord's Insurance Quote NOW!


Click Button Below When Done

Please Click Only Once . . . May take up to 30 seconds!

 
Terms of Use/Privacy Notice/Copyright Info. This website last updated in September 2005.
Please report site-related technical problems to: john@joinsurance.com    © 2005 Insurance-Web-Sales
 
insurance graphic