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        Bonita Springs Florida 34135

        239-221-0522

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Get a Course of Construction Insurance Quote

Get a Course of Construction Insurance QuoteJen Johnson2021-07-16T22:06:41-04:00

"*" indicates required fields

Step 1 of 7 - Basic Information

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Thank you for your interest in receiving a course of construction quote from My Florida Insurance. This form should only take about 5 minutes to complete. Don't worry if you don't have everything. You can always click the "Save and continue later" button below. We'll email you a private link to pick up where you left off.

MM slash DD slash YYYY
Name*
Date of Birth*

Property & Mailing Address

Property Address*
Mailing Address*

Planning Stage Questions

Is the property titled in a name Other Than your personal name(s)?*
(i.e. Trust, Corporation, LLC, etc.)
Have you started construction?*
Will you be using a licensed and insured General Contractor?*

Property Information

Does the structure have hurricane impact resistant glass?*
Will the structure have solar panels?*
Solar Panels Are*

Property Information

Fireplace Types*

Optionally Upload Blueprints

Would you like to upload a copy of your blueprints?*
You may upload up to 5 files.
Drop files here or
Max. file size: 10 MB, Max. files: 5.

    Wrapping Up

    Consent*
    Like most insurance agencies, [agencyname] uses information from you and other sources, such as your driving and claims histories, insurance score, and other factors to calculate an accurate rate for your insurance. New or updated information may be used to calculate your renewal premium.
    All the above information is accurate and true to the best of my knowledge.*
    Would you like to create a user account to manage your submissions?*
    Create a Password*
    This field is for validation purposes and should be left unchanged.

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    My Florida Insurance
    28280 Old 41 Rd #17
    Bonita Springs, Florida 34135
    Phone: 239-221-0522
    Fax: 239-908-4008

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