Territory Name:          

Protection Class:   

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

1-8 9 10

Construction Type:      

Frame 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

No of Apartments?

Select Apartment Four or Less Over Four

Dwelling Coverage Amount?

Other Structures Coverage Amount?

Contents Coverage Amount?

Loss of Use Coverage Amount?

Liability Coverage Amount?

$ 100,000 200,000 300,000

Medical Payment to Others

Coverage Amount?

$ 1,000 2,000