Territory Name:          

Protection Class:   

Cook County, except City of Chicago Lake County Remainder of State Miscellaneous Counties City of Chicago City of East St. Louis

1-8 9 10

Construction Type:      

Frame Masonry Veneer Masonry

Number of Families:    

1 & 2 3 4

Deductible:

$500 $1,000 $2,500 $5,000 $7,500

Policy Type?

Select Policy Type HO2 HO3 HO4 HO6 HO8

Number of Units?

Select Apartment Four or Less Over Four

Dwelling Coverage Amount?

$

Other Structures Amount?

$

Contents Coverage Amount?

$

Loss of Use Amount?

$

Liability Coverage Amount?

$100,000 $200,000 $300,000

Medical Payment to Others Coverage Amount?

$1,000 $2,000