12345678 HiddenUntitled HiddenUntitled Yes No HiddenCreate or Retrieve QuoteNew QuoteRetreieve QuoteQuote Start a new Quote Retrieve a Quote/Pay Policy Please enter the total value of your collection(s):Percentage Comic Books $ Sports memorabilia $ Trading Cards $ Guns and hunting accessories $ Antiques $ Art $ Dolls $ Gold and platinum coins $ Stamps $ Toys and Action Figures $ Other $ Collection Type More Collections Total Collection Value Other types Other Collections to insure: Comics Art Sports AdvertisingCollectibles AntiqueRadios AntiqueTools Dolls CoinOperatedDevices Entertainment Furniture GlassAndPottery HuntingAndFishing LimitedEditionItems MusicalInstruments VintageSewing WesternAmericana Whiskey Wine WritingInstruments ZippoLighters Other of collections you can insure and exclusions exclusions Government seizure or destruction of property War and nuclear hazards Gradual deterioration such as fading, creasing or denting Nesting, infestation or discharge or release of waste products or secretions by insects, rodents or other animals Dampness or dryness of atmosphere Changes in or extremes of temperature other than fire Fraudulent, dishonest or criminal acts Voluntary parting with covered property Loss or damage while being worked on by you or others working on your behalf Mysterious disappearance This is not a complete list of exclusions and exclusions can vary by policy. to our coverage. HiddenDo you have gold or platinum coins? Yes No Do you have any individual items over $25,000 USD in value? Yes No HiddenUntitled First Name* Last Name* Phone*Email Address* Address Address Line 1 Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Is your collection stored at the same address? Yes No Alternative Address Address Line 1 Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip Code Tell us if your collection is using any of the following safeguards* I don’t have any safeguards Smoke Alarm Central Station Alarm Safe Deadbolts Vault Other Other* Are any of the collectibles stored in a basement or other areas below ground? Yes No Are any of the collectibles kept in a public storage facility? Yes No Are any of the collectibles stored outdoors? Yes No Policy Start Date* MM slash DD slash YYYY Quote Insurance You are insuring $0 worth of . The quote has been sent to . Your quote number is : Yearly price $0/year To buy this policy, please confirm the statements below: 1. I have never had a company that refused to write, cancelled or non-renewed insurance on my collectibles 2. I have never been convicted of a felony 3. I have not filed for bankruptcy in the past 5 years 4. I have not filed a claim on my collectibles in the past 5 years Choice Yes No In the event of a loss I am able to provide photos, or an inventory list, or other documentation of my collection. Learn more Acceptable documentation can be pictures or video of your collection, records of purchases, or a detailed inventory list. Please contact us with any questions and we’d be happy to help. Choice Yes No Do you want to include an Automatic increase in the value of your collection? Learn more This is an optional coverage that may be added to your policy for new acquisitions and appreciation of existing collectibles. Selecting this coverage will apply an automatic monthly increase of 1% in coverage, up to a maximum of $1,000,000. This coverage can be added or removed at anytime via request. Choice Yes No HiddenHave you filed for bankruptcy in the last 5 years? Yes No HiddenHave you ever been convicted of a felony? Yes No HiddenHave you filed a claim in the last 5 years? Yes No Email Quote Number Checking Policy Untitled You are insuring $0 worth of . The quote has been sent to . Your quote number is : Yearly price $0/year To buy this policy, please confirm the statements below: 1. No company has ever refused, cancelled or non-renewed insurance on my collectibles 2. I have never been convicted of a felony 3. I have not filed for bankruptcy in the past 5 years 4. I have not filed a claim on my collectibles in the past 5 years Yes No In the event of a loss I am able to provide photos, or an inventory list, or other documentation of my collection. Yes No Do you want to include an Automatic increase in the value of your collection? Learn more This is an optional coverage that may be added to your policy for new acquisitions and appreciation of existing collectibles. Selecting this coverage will apply an automatic monthly increase of 1% in coverage, up to a maximum of $1,000,000. This coverage can be added or removed at anytime via request. Yes No HiddenUntitled Yes No HiddenUntitled Yes No HiddenUntitled Yes No Δ
