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Request a Quote

Request a QuoteCollin Randlolph2023-07-11T18:35:44+00:00

Step 1 of 4

25%

General Contact Information

Name(Required)
Current Address(Required)
Prior Address(Required)
Our Insurance Plan is built to take into account a comprehensive overview Insurance Profile.(Required)
In building your Insurance Plan, Ameristar Agency / MMA bundles Home and Auto together. Please select both Home & Auto, along with any other Insurance needs you may have.

Please select a quote type to continue.

Home Insurance

Owner / Resident Information

Name(Required)
Date of Birth(Required)
Gender(Required)
Name
Date of Birth
Gender

Home Location 1 Information

Address(Required)
How will this home be used?(Required)
Is there short term rental activity at this location?(Required)
Are there any businesses on the premises?(Required)
MM slash DD slash YYYY
Square footage of your home not including the basement.
Is the home owned by a Trust, LLC or Entity?(Required)
Home Type(Required)
Foundation(Required)
Style of Home(Required)
Roof Material(Required)
Type of Siding(Required)
Type of Heating(Required)
Is there a basement?(Required)
Please enter a number from 0 to 100.
Are there any fireplaces?(Required)
Type of Fireplace(Required)
Type of kitchen(Required)
Is there a pool?(Required)
Is there a fence or pool cover around / on the pool?(Required)
Is there a trampoline on the property?(Required)
Does your home have any attached structures (Deck, Balcony, Pergola, Porch)?(Required)
Are there any current or upcoming renovation projects?(Required)
Do you own any dogs?(Required)
Does the dog have a bite history?(Required)
Do you have ownership of any other properties?(Required)
Have there been any property claims within the past 5 years?(Required)
Do you have any Jewelry or Valuable Items to insure?(Required)
Jewelry, Watches, Coins, Furs, Handbags, Firearms, etc.
Jewelry, Watches, Coins, Furs, Handbags, Firearms, etc.

Home Location 2 Information

Address(Required)
Dwelling District(Required)
Is this a primary residence or rental property?(Required)
Is there short term rental activity at this location?(Required)
Are there any businesses on the premises?(Required)
Date of Purchase(Required)
Square footage of your home not including the basement.
Is the home owned by a trust, LLC or entity?(Required)
Home Type(Required)
Foundation Type(Required)
Style of Home(Required)
Roof Material(Required)
Type of Siding(Required)
Type of Heating(Required)
The number of cars that fit within the garage of the home.
Is there a basement?(Required)
Are there any fireplaces?(Required)
Type of Fireplace(Required)
Type of Kitchen(Required)
Is there a pool?(Required)
Is there a fence around the pool?(Required)
Is there a trampoline on the property?(Required)
Does your home have any attached structures (Deck, Balcony, Pergola, Porch)?(Required)
Are there any current or upcoming renovation projects?(Required)
MM slash DD slash YYYY
MM slash DD slash YYYY
Are there any residents in the home that are not listed?(Required)
Do you own any dogs?(Required)
Does the dog have a bite history?(Required)
Do you have ownership of any other properties?(Required)
Have there been any property claims within the past 5 years?(Required)

Vehicle Insurance

Driver 1

Name(Required)
Date of Birth(Required)
Gender(Required)
State that Issued License(Required)
Driver's License Status(Required)
Is this driver a student?(Required)
Is this driver away at school over 100 miles from your home?(Required)
Does this driver have a vehicle with them at school?(Required)
Does this driver maintain a B average or better in school?(Required)

Driver 2

Name(Required)
Date of Birth(Required)
Gender(Required)
State that Issued License(Required)
Driver's License Status(Required)
Is this driver a student?(Required)
Is this driver away at school over 100 miles from your home?(Required)
Does this driver have a vehicle with them at school?(Required)
Does this driver maintain a B average or better in school?(Required)

Driver 3

Name(Required)
Date of Birth(Required)
Gender(Required)
State that Issued License(Required)
Driver's License Status(Required)
Is this driver a student?(Required)
Is this driver away at school over 100 miles from your home?(Required)
Does this driver have a vehicle with them at school?(Required)
Does this driver maintain a B average or better in school?(Required)

Driver 4

Name(Required)
Date of Birth(Required)
Gender(Required)
State that Issued License(Required)
Driver's License Status(Required)
Is this driver a student?(Required)
Is this driver away at school over 100 miles from your home?(Required)
Does this driver have a vehicle with them at school?(Required)
Does this driver maintain a B average or better in school?(Required)

Driver 5

Name(Required)
Date of Birth(Required)
Gender(Required)
State that Issued License(Required)
Driver's License Status(Required)
Is this driver a student?(Required)
Is this driver away at school over 100 miles from your home?(Required)
Does this driver have a vehicle with them at school?(Required)
Does this driver maintain a B average or better in school?(Required)

Driver 6

Name(Required)
Date of Birth(Required)
Gender(Required)
State that Issued License(Required)
Driver's License Status(Required)
Is this driver a student?(Required)
Is this driver away at school over 100 miles from your home?(Required)
Does this driver have a vehicle with them at school?(Required)
Does this driver maintain a B average or better in school?(Required)

Vehicle 1

Is this vehicle parked / stored in garage at the primary location?(Required)
Please enter a number greater than or equal to 0.
Is this vehicle used to deliver goods or as a transportation service (Uber / Lyft)?(Required)
Is there a loan or lease on this vehicle?(Required)
Have there been any auto claims in the past 5 years?(Required)

Vehicle 2

Is vehicle 2 parked / stored in garage at the primary location?(Required)
Please enter a number greater than or equal to 0.
Is vehicle 2 used to deliver goods or as a transportation service (Uber / Lyft)?(Required)
Is there a loan or lease on vehicle 2?(Required)
Have there been any auto claims in the past 5 years?(Required)

Vehicle 3

Is this vehicle parked / stored in garage at the primary location?(Required)
Please enter a number greater than or equal to 0.
Is this vehicle used to deliver goods or as a transportation service (Uber / Lyft)?(Required)
Is there a loan or lease on this vehicle?(Required)
Have there been any auto claims in the past 5 years?(Required)

Vehicle 4

Is this vehicle parked / stored in garage at the primary location?(Required)
Please enter a number greater than or equal to 0.
Is this vehicle used to deliver goods or as a transportation service (Uber / Lyft)?(Required)
Is there a loan or lease on this vehicle?(Required)
Have there been any auto claims in the past 5 years?(Required)

Vehicle 5

Is this vehicle parked / stored in garage at the primary location?(Required)
Please enter a number greater than or equal to 0.
Is this vehicle used to deliver goods or as a transportation service (Uber / Lyft)?(Required)
Is there a loan or lease on this vehicle?(Required)
Have there been any auto claims in the past 5 years?(Required)

Vehicle 6

Is this vehicle parked / stored in garage at the primary location?(Required)
Please enter a number greater than or equal to 0.
Is this vehicle used to deliver goods or as a transportation service (Uber / Lyft)?(Required)
Is there a loan or lease on this vehicle?(Required)
Have there been any auto claims in the past 5 years?(Required)

Watercraft Insurance

Do you have watercraft to insure?(Required)
If Yes, please continue answering the following questions. If No, please move to the next section
How many watercraft are you looking to insure?
Does Watercraft have an Outboard Motor?
If Yes, please answer the outboard motor questions below, if No, please continue on to the next section
Does Watercraft have an Outboard Motor?
If Yes, please answer the outboard motor questions below, if No, please continue on to the next section

Trailer Insurance

Do you have a trailer to insure?
If yes, please continue answering the trailer insurance questions below, if No, please continue on to the next section
Is this trailer licensed for road use?

Recreational Vehicle

Do you have any Recreational Vehicles to insure?
ATV, UTV, Minibike, Snowmobile, etc.
Do you have any other items to insure?(Required)

AmeriStar Agency
815 Wayzata Blvd E
Wayzata, MN 55391

763-542-8377

info@ameristaragency.com

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