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Fast Insurance Quotes by Phone or On-line from our California Insurance Center.
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RUSH Quote.
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Contact Us
 
 
E-Mail:
rodneygalloway@cox.net

Phone:
Toll Free:
866-352-3075
Direct Line:
619-461-0111

Fax Number:
619-639-0313

Mailing Address:
Rod Galloway
Insurance Agency
9019 Park Plaza Dr. #G
La Mesa, CA
91942

CA Ins. License #:
0733531

More About
Our Agency!


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Our carriers offer 12-15% discount off your Home and Auto Insurance when we write both policies.

"Remember,
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Come with an Agent!"

We Are Proud to Be an
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Agent You Can Trust!



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On-Line Flood
Insurance Quote Form
One Simple Form - takes only 2-3 Minutes!


Your Name:
Property Address:
City:
State: (Must be California)
Zip/Postal:
E-Mail (REQUIRED):
E-Mail (again for accuracy):
Phone:
Fax (optional):
 
Dwelling Information
Year Home Built:
 
Home Square footage:
 
Flood ZONE NUMBER:
(look on current policy, if any)
 
Flood COMMUNITY NUMBER:
(look on current policy, if any.)
 
Number of units: 1 family Duplex
3 Family 4 Family
 
Type foundation: Slab Crawlspace over slab
Pier & Post Other (list in remarks)
 
Type Roof: Shingle Wood Shake
Tar/Gravel Spanish Tile
 
Number of stories: One 1.5
Two Three
If more than 1 story, are some contents on ground floor, contents ONLY above the first floor? On ground floor
Above first floor only
 
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)
 
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 $
Deductible $
($250, $500, $1,000, etc.)
 
 
Comments/Remarks:
 
Send my quotation via: E-Mail Fax
Regular Mail


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 them 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 Quote NOW!


 
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