BasePoint - California Home Insurance

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California Home Insurance Quote. Speak to an Agent Toll Free: 1-800-900-8075

Free Quotes and No Obligation. Save Money without Sales Pressure.

More Choices in Companies, Accurate Quotes, No Broker Fees & No Hassles.

This form is designed to efficiently identify your unique characteristics as a homeowner. Once received, our licensed agents analyze the risk to quickly & accurately determine underwriting acceptability, shop insurance company premiums and coverages, and most importantly - to work with you to secure coverage limits that you are comfortable with so that you are able to rebuild your home after a covered loss.

Contact Information

Email*

Confirm Email*

We will not sell your email address.

Cell Phone*

How did you hear about us?*

Please enter your friend's name so that we can personally thank them.*

We love to say thank you to the loyal customers who support us!

Is your home located in the State of California?*

Yes No

Unfortunately, our home insurance program is only available to persons permanently residing in the State of California. If your home is outside of California, please consult with an insurance provider licensed in your state of residence. Thank you.

Any quote requests for drivers living outside the State of California will not be processed.

Property Address*

Please enter the address of the California residence. ( P.O. Box will not allow the system to provide a rate )

City*

State*

Zip*

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Owner Information

Name

First Name

Last Name

Date of Birth*

Month

Day

Year

Gender*

Marital Status*

Occupation*

Spouse's Name*

First Name*

Last Name*

Spouse's Date of Birth*

Month

Day

Year

Spouse's Occupation*

Is this home a new purchase?*

Yes
No

If Yes, what is the approximate Closing Date?*

Month

Day

Year

Approximate Date of Purchase?*

Month

Day

Year

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Dwelling Information

Year Home was Built*

Square Footage of Dwelling*

Type of Dwelling*

Dwelling Occupied By:*

Number of Stories*

Type of Foundation*

Foundation of Home Built On*

Type of Construction*

Number of Bedrooms*

Number of Full Bathrooms*

Bathrooms with a bathtub.

Number of 3/4 Bathrooms*

Bathrooms with a shower, but without a bathtub.

Number of 1/2 Bathrooms*

Bathrooms without a shower or bathtub.

How would you describe the quality of construction*

Economy Semi-Custom Custom Designer

Please check off all of the features that apply to your home.

Wood Flooring
Marble Flooring
High-Grade Carpeting
Custom Cabinets
High-Grade Countertops

Number of Fireplaces*

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Exterior Features

Type of Roof*

Has the roof ever been replaced?*

Yes
No

If yes, approximately what year?*

Exterior Siding*

Is the Garage*

Number of Garages*

For How Many Cars?*

Any other structures that are Attached to the Dwelling?*

Yes
No

Including: Decks, Porches, Patios, Balconies, Breezeway, etc.?

If yes, give details and approximate square footage.*

Any other structures that are Detached from the Dwelling?*

Yes
No

Including: Granny Flats, Decks, Gazeebos, etc.?

If yes, give details and approximate square footage.*

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Interior Features

Type of Plumbing*

Water Heater strapped to the wall?*

Yes
No

Location of Washing Machine*

Does the Washing Machine have a Reinforced Hose?*

Yes
No

Type of Heating*

Is the heating Thermostatically Controlled?*

Yes
No

Type of Electrical Wiring*

Do you have Central Air Conditioning?*

Yes
No

Do you have a Wood Burning Stove?*

Yes
No

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Environmental Hazards and Liability Exposures

Fire Hazard Exposure

Miles to Fire Station*

Name of responding Fire Department*

Approximate feet to the nearest Public Fire Hydrant*

Approximate feet from native brush*

Do you have Indoor Sprinklers?*

Yes
No

If yes, select sprinkler coverage.*

Full
Partial

Liability Exposures

Do you have a pool or a spa?*

Yes
No

If Yes, is the Yard Fenced?*

Yes
No

If Yes, check off if your pool has any of these features.

Pool Slide
Diving Board

Do you have a Trampoline?*

Yes
No

Do you own or board any pets or animals?*

Yes
No

If Yes, please give details of the number, types of animals, breed(s) & biting history if any:*

Do you own any Recreational Vehicles?*

Yes
No

Examples: Boat, Golf Cart, Motorcycle, Jet-Ski, ATV or Aircraft.

If Yes, give details of the years, makes and models.*

Any business conducted on the premises?*

Yes
No

If Yes, describe business operations, property needing coverage, and quantity and frequecy of foot traffic.*

Any Domestic Residence Employees*

Yes
No

Enter the total number of Inservants working more than 20 hours per week.*

Primary duties are indoors. Examples include: nannies, cooks, maids, etc.)

Enter the total number of Outservants working more than 10 hours per week.*

Primary duties are outdoors. Examples include: gardeners, chauffers, etc.)

Do you own any Secondary or Seasonal Residences?*

Yes
No

If Yes, give details:*

Do you own, lease or rent any Vacant Land?*

Yes
No

If Yes, give details:*

Do you own any rental units?*

Yes
No

If Yes, how many Rental Units do you own?*

Is the dwelling undergoing any construction/renovation?*

Yes
No

If Yes, provide details including dates & types of changes to the property.*

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Select Limits of Coverage

Dwelling Coverage Limit $

Enter the Minimum Limit that You Require to Rebuild Your Dwelling.

Personal Property Coverage Limit:* $

Enter the amount that it would cost to replace all of your personal property with new items. Items that are included in this category for the most part are items that a person would take with them if they moved out of the home (examples include: clothing, furniture, cookware, electronics, etc.)

Do you wish to schedule any personal property?*

Yes
No

In all home insurance policies, there are special limits on certain types of personal property. In order to obtain higher/proper coverage, an insured must specifically list the individual items on a Schedule on the policy and pay a premium to have them covered adequately. Some common items that have special limits include: Jewelry, Watches, Furs, Precious and Semi-Precious stones, Home Computers, Oriental & Persian Rugs, Fine Arts, Silverware, Goldware, Tools, Bicycles, Cameras & Musical Instruments.

If yes, please give detailed descriptions (age, value, etc.) for items that you wish to schedule.*

Some items may require a current appraisal.

Select Limit of Liability Coverage*

Pays for losses (up to the limits you select) for damages you are legally responsible for.

Higher limits of liability may be secured with a separate umbrella policy. Do you want an Umbrella Policy?*

Yes
No

Please note: Our agency only provides umbrella policies for those risks in which we insurance all of your personal vehicles. If you desire an umbrella policy, and your auto insurance is through another provider, advise us & we will promptly send you our auto insurance questionnaire.)

Select Limit of Guest Medical Coverage*

Pays for medical bills (regardless of who is at fault) for injuries sustained by a guest.

Is your home part of a Homeowners' Association?*

Yes
No

The standard Loss Assessment coverage under a home insurance policy is $1,000. Do you wish to increase this limit?*

Standard limit is fine
Increase to $5k
Increase to $10k
Increase to $20k
Increase to $50k

Did you know that if there is damage to property of the Association, like a clubhouse, pool, etc., the Homeowners' Association can assess you for the portion of the deductible of the insurance policy that the Association purchased. Also, if a judgment is awarded against the Homeowners' Association from a lawsuit, you could be assessed for your portion that goes above the liability coverage of the Association. (Please read you CC&R's and all of you Homeowners Association documents to determine your exposure to financial loss.)

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Help us, help you to get every DISCOUNT you qualilfy for.

Don't leave any money on the table. We will search for every discount possible.

Safety & Security Items. Check off all boxes that apply.*

Smoke Alarm
Fire Extinguisher
Deadbolt Locks
Gated Community
Local Alarm
Activated Central Alarm

Would you consider changing your Auto Insurance if it could save you 14% per year (or even more) on your Home Insurance Rates?*

Yes No

Bundle Your Home & Auto Insurance and Save Big!

Name of Auto Insurance Company*

Mortage Loan Discount. Select Your Most Recent Mortgage Loan.*

Some companies give a discount for having a recent home loan. Go figure.

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Home Insurance History

Are you currently insured?*

Yes No

Name of current insurance company*

When does your current policy expire?*

Month

Day

Year

How long have you been continuously insurance with them?*

Are you being cancelled/non-renewed?*

Yes
No

What is the reason?*

Have you had any homeowner's claims in the last 5 years?*

Yes
No

If Yes, please list the approximate dates, types of claims, and amounts paid.*

Please provide the name & phone number of your Real Estate Agent or Escrow Officer.*

How soon do you need home insurance?*

Immediately within 1 week within 1 month more than 1 month