earthquake coverageearthquake coverage
I Find Out Why This is Our Agency's 54th Year! I
 
Get Your Free Earthquake Insurance Quote Below!
earthquake insurance audioRealAudio Message: "Why You NEED an Agent or Broker
to Purchase Your Earthquake Insurance!"
(CLICK HERE TO LISTEN TO THIS VALUABLE 7 MINUTE AUDIO MESSAGE)
To receive a free quote on your home, complete the following form. We will "shop" the earthquake marketplace for the lowest discounted price available.   Quoting process will take about a day! NOTE: ALL FIELDS MUST BE FILLED IN OR QUOTE CANNOT BE GENERATED!

(HOVER your mouse over underlined fields for HELP on filling in fields - You do NOT need to click your mouse!)

 
Your Name: 
   
Your E-MAIL: 
   
Your E-MAIL: 
   
Street Address: 
   
City: 
   
State, Zip Code: 

MUST BE CALIFORNIA ,  Zip: 
   
Occupied by:  Owner   Tenant
   
Current Quake Company:  (If none, type "NONE")
   
Year Built: 
   
Living Area (sq.ft.): 
   
Number of Levels:  1   1.5   2   3   4 or More  
   
Type of Building:  Residential   Townhouse   Condominium
   
Construction Type: 
 Wood Frame   Wood Frame W/Stucco  
  (OTHER CONSTRUCTION TYPES NOT ACCEPTABLE!)
   
Foundation Type:  Slab   Crawlspace over concrete foundation  
Crawlspace over Wood Perimiter   Basement  
Post and Pier   Stilts  
   
Gradient (Slope): 
 Flat Gentle Steep
   
Roof Type:  Asphalt Shingle   Wood Shake/Shingle   Spanish Clay/Tile  
Metal   Tar & Gravel   Manmade concrete shingle  
   
Is Your Home 
Earthquake 
"Retrofitted"?: 
Yes   No      (Hover mouse over question for definition)
   
Current Ins.
Carrier:
(homeowners/fire Ins.) 
   
Current Dwelling
Coverage Limit:
(on homeowners policy) 		 $ 
   
RealAudio Message: Did you get a chance to listen to our
On-line RealAudio Message?
Yes   No
 
 


Please Click Only Once - May take 15 seconds to 1 minute to send
 
Quotes Delievered by Next Business Day
QUAKEpolicy.com is a subsidiary of Basic West Insurance Agency Inc.
© 2,000 - Basic West Insurance Agency, Inc.
1641 Taraval Street - San Francisco, CA 94116
Phone: (415) 665-7400 - TOLL FREE: 877-41-BASIC - Fax: (415) 665-7713
CA. Insurance Lic# 0664506 - E-MAIL ADDRESS: basicwest@aol.com