Condominium Association Quote
Request
Please complete the following form to request a quote for
your Condominium Association from our agency:
Condominium Association Name:
Contact Name:
Mailing Address:
City:
State:
Zip Code:
Phone No.:
Email:
Current Insurance Carrier:
Losses within the last three years:
If so, please provide description
and amount paid:
No. of units:
Remarks:
Home of the Condominium Association Insurance Specialists
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22720 Michigan Avenue, Suite 210
Dearborn, MI 48124

Toll Free: (800)856-8701
Local: (313)278-3800
Fax: (313)278-8467
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