Please carefully review the
Terms and Conditions below:
read all exclusions indicated on quotation.
The quotation received is not
binding on the Insurer in any way.
clicking 'Submit Application' you are not
agreeing to purchase coverage. Via email, you will
receive a free, no-obligation insurance quotation.
Any person who knowingly and with intent
to defraud any insurance company or another person files an
application for insurance containing any materially false
information, or conceals for the purpose of misleading information
concerning any fact material thereto, commits a fraudulent insurance
act, which is a crime and subjects the person to criminal and (NY:
substantial) civil penalties. (Not applicable in CO, HI, NE, OH, OK,
OR, VT). In DC, LA, ME, TN and VA, insurance benefits may also be
that once coverage is bound, the policy cannot be cancelled.
quotation will be based solely on the coverages and limits selected
on this application.
Please ask your Supple-Merrill &
Driscoll, Inc. representative to explain coverage details,
exclusions, limits or other provisions of any insurance policy.
Type your name below, to indicate
that you have read
and accepted the Terms and Conditions above: