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We welcome the opportunity to offer you a quote on your insurance protection.
 Just enter the following information so we can develop your quote...


AAA Ace Underwriters - Quotes
Information provided will be held in strict confidence - see privacy notice below
 AAA Ace Underwriters provides quotes for
  Florida customers only.
If you live, have property in, or do business in Florida then please continue...

Please give us some information about yourself.
 (Please use your Florida address)

              Name  < Required
     Street address  < Required
    address (cont.) 
               City  < Required 
     State/Province  < Required
    zip/Postal code  < Required
             County  < Required
         Work Phone 
         Home Phone 
                FAX 
             E-mail  < Required

Choose one of the following types of coverage available:


Please describe yourself: 

   Date of birth  Sex Male Female
   Florida Drivers license number

If married, Please describe your spouse: 

    First Name    Date of birth  
    Florida Drivers license number

Please describe the items to insure:

Please include on auto insurance: Year, make & model (and VIN if you have it) of your vehicles.
Important...please be specific (say 98 Honda Civic DX 4dr 6cyl...not just 98 Honda Civic, etc.)
You can include other important information on the items you want to cover here as well:
(If the address above is not the address of the property you wish to insure, please list the property address here)

                                                                                                                                                                                           
Home Owner Section
Homeowner - Renters - Condo
Please answer the following questions:
 Auto insurance please skip to auto section below
 

- Year of Construction of your building << (Year is required to provide any form of property coverage)

- If mobile home what is the value of the mobile home?
- Is the mobile home located in:  Mobile Home Park  Subdivision (within 300 ft. of neighbors)   Rural or more than 3 acres
 

 

- Construction type: Wood Frame   Masonry (block)  Mobile home
 

 

- Square footage under air?    (under air refers to the space serviced by your heat/air conditioning system)
 

 

- Balance left to pay on your mortgage?  
 

 

- If you have a dog, please advise what breed of dog? 
 

 

- Number of bedrooms in your home?     Number of Bathrooms? (indicate a half bath as .5)
 

 

- Is your home located within 1,000 feet of a fire hydrant?  yes  no

  
   

- Is your home equipped with centrally monitored burglar and fire alarm systems?   yes - both  yes - burglary only    no
 

 

- Does your home have a swimming pool?   yes  no               

 

          If yes, please also advise:  Is the pool fenced:  yes no  

 

          Do you have a diving board:   yes no  
 

 

- Please indicate the use of this home:   Primary Residence    Secondary Residence
                                                                   Rental Unit                  Vacant (Not used)

 
   

- Is your home located in a gated community?  yes  no

  
   

- Please describe any claims you have made on your home in the past three years here (include the date):

  
 
   
New Home Purchase Information
 		  

- Have you purchased this home in the past 45 days or are you closing in the future? Yes  No
 

  

- What is your anticipated closing date:

 
   

- Will you require expedited paperwork service? (Recommended if your closing is within 14 days)  yes  no

  

 

 

  

                                                                                                                                                                                           

 







 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Auto Insurance Section
Auto - Boat - Motorcycle - RV/Motorhome - Jet ski
Please answer the following questions:
Homeowner - Renters - Condo - Please skip to general information section below


Miles to work (one way):

Do you own your home: Yes  No

Your Social Security Number:

Many Insurance Companies now offer discounts for good credit. In order to assure the lowest possible auto insurance premium for you, please provide your Social Security Number. Your SSN is not required to obtain a quote, however if you provide this information, we will attempt to apply the good credit discount to your quote, if you qualify. If you do not provide this information, we will obtain a quote without the good credit discount. By entering your Social Security Number, you authorize us and our Insurance Carriers to access your credit records for the purpose of underwriting an insurance quotation as allowed under the Federal Fair Credit Reporting Act. Further information regarding this practice is available from any of our licensed insurance representatives at (800)368-4227.

Does your vehicle have:

Airbags: YesNo
Anti-lock brakes: Yes No
Alarm System: Yes No
Lojack: Yes No
Automatic Seatbelts: Yes No


Note: if insuring more than one vehicle - add these items to your description of the additional vehicle above.

Regarding your driver's license, please choose the option that applies:

Please describe any tickets or accidents in the past 3 years. Please include the type of violation (please indicate on speeding tickets your speed and limit exceeded) and the date of the violation. On accidents, please indicate if you were at fault and what violation coincides with your accident.
Please enter the coverage you desire quoted:
(Note we will quote the minimum coverage if you don't specify otherwise here)

 

General Information Section
For all types of insurance
Please answer the following questions:

Are you currently insured with this type of insurance? Yes  No
 

Please enter the name of your current insurance company and current expiration date. (do not list your agent, just the company and the date your policy expires.)

Important for Home Insurance: Is your current Home insurance company offering a renewal policy?
yes  no

Please provide a telephone number so we can reach you (9am and 5pm EST).
Please include area code.

Choose one of the following priority options:

How do you rate our website?
 terrible poor  fair  good  exceptional

Please give us any comments you have regarding our site and its content:
Please help us to improve our Internet marketing by telling us how you heard about Ace Underwriting Group (If you used a search engine be sure to say which one):
  

That's It!
Thanks for your answers
click here to complete your quote:
(Please click only once to prevent duplicate quotes from being prepared...Thanks!)

(Privacy policy: Information disclosed here will be shared with insurance companies and their general agents only for the purposes of quoting and obtaining an insurance policy for you.  Quotation and policy issuance will be based upon your disclosures and their accuracy.  Ace Underwriting Group will not knowingly share this information with any third party beyond that which has been stated above or by governmental order.   Ace Underwriting Group, its officers, agents and employees, shall not be liable for information you provide that is inaccurate or otherwise incorrect as transmitted to us and supplied on your behalf to insurers.  Disclosure policies of various insurance companies and their general agents are available upon request and will be supplied automatically upon issuance of an insurance policy.  For further information, please call our customer service center at  (954) 581-0202.)

(c) 1997, 2006 Sensible Software Systems, Inc.
a member of the Ace Underwriting Group of companies
Last updated 06/14/2006.