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California insurance
California insurance at CIS Insurance
Fast California Insurance Quotes by Phone or On-line Via "Quick Quote" Forms.
Business and Commercial Insurance, Auto & Homeowners Insurance.
Time Saving Cost Comparisons & Quality Service... Call or E-Mail Us Today!

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California auto insurance

Low Cost
California, Arizona and Nevada Insurance.

High Quality
Service!


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

 
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Quote On-Line

 
 
To Obtain Our FAST Insurance Quotes, Click Below:

Auto Insurance
"DUI/DWI" Insurance
Cycle & 4 Wheeler
Motorhome Insurance
Boat Insurance
Homeowners Insurance
MobileHomeowners
Renters Insurance
Businessowners
General Liability
Workers Compensation
Surety/Fidelity Bonds
Professional Liability
Commercial Auto
Life Insurance

Representing Such
Fine Carriers as:

 
Contact Us
 
 
E-Mail:
alexjohnson@
customizedins.com

mattsweigart@
customizedins.com

Phone:
Toll Free:
1-866-899-4247

Facsimile:
Toll Free:
1-866-899-4266

Mailing Address:
3148 East La Palma
Avenue, Suite L

Anaheim, CA
92806

Insurance
License #:

0D79615 (CA)
855123 (AZ)
18695 (NV)


For Your
Convenience,
We Accept:

California Insurance

Don't forget to ask about our Multi-Policy Discounts!

Carriers will often give you 10% off your Home and Auto Insurance when we write both policies.

California homeowners insurance
 
 
Homeowners Insurance
Quotation Form
One Simple Form - takes only 2-3 Minutes!


Your Personal Data:
 
Your Name:
Property Address:
City:
State (Click One):
Zip/Postal:
E-Mail (REQUIRED):
Phone:
Contact Phone # and
Best time to reach you:
Fax (optional):
 
Primary Insured
Social Security #:

(Best priced carriers use SSN
Credit score for additional discounts)
 
Dwelling Information
 
Year Home Built:
Home Square footage:
 
Is this Builder's Risk?
(new home constr.)
NO YES
 
Month/Year home
to be complete:
 
Number of units: 1 family Duplex
 
Type foundation: Slab Crawlspace over slab
Pier & Post Other (list in remarks)
 
Type Roof: Composition Shingle
Wood Shake
Tar/Gravel Spanish Tile
Metal Other
 
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 or Jacuzzi? Yes No
If yes, describe fencing, security, and pool types:
 
Are You Near Brush Area? Yes No
 
# of feet to nearest
fire hydrant:
# of miles to nearest
fire station:
 
Currently Insured? Yes No
 
How is Your Credit History?
(Some carriers use credit history to qualify)
 
Prior Claims or Losses? Yes No
Describe claims/losses in detail:
 
Plumbing type: Copper Galvanized
Mixed (Copper/Galvanized)
 
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, or other special coverages needed here):
 
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.

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