Blue Sky Insurance Agency, Inc.

Call For a Quote:
805.578.3883

Insurance Agents in Simi Valley

40 W Cochran Street, #108
Simi Valley, CA 93065

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Homeowners Quote Request

Step 1: Location
Property Address*
City*
Zip Code*
Is your home within 5 miles of a fire station?
- Yes
- No
Is your home within 1,000 feet of a fire hydrant?
- Yes
- No
Is your home within a designated flood plain?
- Yes
- No

Step 2: Location
Home’s Construction
Year Built*
Square Footage (Excluding Basement)*
Number of Stories*
Number of Bedrooms*
Number of Bathrooms*
Number of Fireplaces*
Construction Type
Foundation Type*
Garage Type*
Exterior Wall Type*
Roof Type*
Age of Roof*
Wiring Type*
Service Panel Type*
Heating System Type
Burglar Alarm*
Fire Alarm

Step 3: Details
My home has (check all the apply):
- Trampoline
- Uncovered deck/patio
- Fire extinguisher
- Swimming pool
- Dead bolts
- Smoke detectors
- Covered deck/patio
- Indoor fire sprinkler
How is the property occupied?*
Do you have any of the following breeds of dogs: Chow, Doberman, German Shepherd, Pit Bull, Rottweiler, Wolf Hybrid, or mix of these?
- Yes
- No
Is any business conducted on the property?
- Yes
- No
Have you experienced any losses or claims within the last 5 years?
- Yes
- No

Step 4: Coverage
Please enter your coverage needs
Estimated Replacement Cost*
Example: For $100,000 enter the amount 100000
Replacement cost is the cost of rebuilding your home given today’s prices. It is not the market value or selling price of the home. You should not include the cost of the land or other structures on your property.
Personal Liability Protection
Deductible
Tell us about your current policy
How long has your home been insured without a lapse in coverage?*
Who is your current carrier?*
When does your existing policy expire?*
MM slash DD slash YYYY

Step 5: Your Information
First Name*
Last Name*
Date of Birth*
MM slash DD slash YYYY
Mailing Address*
City*
Zip Code*
Daytime Phone Number*
Evening Phone Number (Optional)
Email Address*

Quick Contact Form

Please use this form if you would like a quick call back for an insurance quote.

Full Name*
Phone*
Business Name
Email
Interested In?*
Preferred Method of Contact
Email
This field is for validation purposes and should be left unchanged.

© Blue Sky Insurance – 40 W Cochran Street, #108, Simi Valley, CA 93065 – (805) 578-3883 – License # OD94590