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CA insurance quotes
Fast Insurance Quotes by Phone or On-line from our California Insurance Center.
Time Saving Cost Comparisons & Quality Service... Call Us Today!

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

 
Or, Get A FREE
Quote On-Line

 
 
   Automobile Insurance
   "D.U.I." Auto Insurance
   Motorcycle & ATV
   Recreational Vehicle
   Homeowners Insurance
   Dwelling Fire Insurance
   Manufactured Home
   Mobilehome Insurance
   Renters Insurance
   Condominium Insurance
   Flood Insurance
   Earthquake Insurance
   Landlord Insurance
   Life Insurance
   Health Insurance

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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,
All Our Policies
Come with an Agent!"

We Are Proud to Be an
Independent Insurance
Agent You Can Trust!



Click Button Below to Request Service to your existing policy with our agency.

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Real Estate/Escrow Officers
RUSH Homeowners Quote Form
One Simple Form - takes only 2-3 Minutes!


Client's Personal Data:
 
RE/Escrow Officer Name:
RE/Escrow Officer Phone#:
 
Client Name:
Property Address:
City:
Your "County" is?
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:
 
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 Construction: Frame
Brick/Veneer
Stone
Other (list in remarks)
 
Type Roof: 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:
 
Are You Near Brush Area? Yes No
 
# of feet to nearest
fire hydrant:
# of miles to nearest
fire station:
 
Currently Insured? Yes No
Name of Carrier & how long insured?
 
Prior Claims? Yes No
Describe claims in detail:
 
Rate Your Credit History and Past Insurance Payment History:
(Some companies products are
based on your credit and payment history.)
Excellent Fair
Poor Horrible
 
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.

Yes, I Agree. Please Send Me a Quote NOW!


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Terms of Use/Privacy Notice/Copyright Info. This website last updated in October 2005.
Please report site-related technical problems to: rodneygalloway@cox.net    © 2005 Insurance-Web-Sales
 
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