Renewal Checklist Your Name (required) Your Email (required) Your Primary Phone Number Preferred method of contact EmailPhoneTextWhat type of insurance do you have with us? Check all that apply. (required)HomeownersAutoHomeowners InsuranceHave you renovated, remodeled, added on to, or otherwise updated your home? YesNo Please DescribeDo you do any of the following: Operate an office or studio in your home, babysit in your home, or have clients come into your home to make purchases?YesNo Please Describe: Do you own tools, equipment, or instruments used in your trade or profession? YesNo Have you added a permanent swimming pool? YesNoAre you interested in earthquake coverage?YesNoEvery policy has sub-limits. Do you have any of the following and need a quote to schedule these items to your policy:JewelryAntiquesFine ArtsGunsMore Than $1000 CashOther Valuables Jewelry $: Antiques $: Art $: Guns $: Other $: Do you want a quote to add OR increase your current limit of Backup of Sewer and Drains?YesNoFlood is excluded from your homeowners policy. Would you like more information on how to purchase Flood Insurance?YesNoDo you own a vacation home that needs insurance?YesNoCoverage for liability from a Trampoline may be excluded. Do you own a Trampoline and need to discuss this?YesNoWould it cost more to rebuild your home than the amount it is insured for?YesNoIs your home titled in a Trust? (this is NOT the same as a mortgagee).YesNo What is the name of the trust? Do you want a quote to increase your Umbrella Liability Policy OR do you want a quote for an Umbrella Liability Policy? YesNoDo you own a dog?YesNo What breed? Do you have a wood burning stove?YesNoAutomobile InsuranceDo you want a quote to increase your auto liability limit?YesNoDoes your auto policy specify by name all of the drivers in your household?YesNoDo you have a teen in your household that will obtain a drivers license or school permit this year?YesNoDo you have a company car furnished for your regular use?YesNoDoes our agency insure all of the vehicles you own?YesNoDo you want to talk about additional coverage available, such as Lease Gap, Towing, or Rental?YesNoWould you like us to send you a FREE Insurance ID Card Holder for each of your vehicles?YesNoDo you or anyone in your family use your vehicle for Uber, Lyft, or other delivery service (food, newspapers, pizza, etc)?YesNoIs anyone else a titled owner of a vehicle listed on your policy other than you or your spouse? YesNoDo you have any children listed on your auto policy who no longer live at home and are not in college? YesNoDo you own any of the following that are NOT insured? (Check all that apply): CamperMopedGolf CartMotorcycleMotorhomeATV/UTVBoat or Personal Watercraft Please Describe: Would you like your agent to contact you regarding other insurance questions/concerns?YesNo Additional Questions, Comments, or Concerns.