Listen to our radio ads

"Seems high" (1 MB mp3)

"Fire" (1 MB mp3)

"Discounts" (0.8 MB mp3)

Harbord Insurance

Quote Form

Thank you for your interest in a quote! In order to find the market that will give you the best price and coverage for your situation we need some information about you and the property to be insured. Please note that currently we can only accept online quote requests for locations in the Southern Vancouver Island area. For quotes in other geographical areas please Call Us directly. Thank you

Contact information - You must provide at least one method of contact in order for us to respond to your request.
Name:
How would you prefer to be contacted?
Email:  
Phone:

Location of property to be insured
Street:
City:  
Postal Code:

Policy information
Renewal date of current policy:
Or
If no current policy, when do you require coverage to begin?
Has any insurer cancelled or refused you insurance in the past 5 years?
Have you had any losses or claims within the past 5 years?
Is there business conducted on the premises?

Property information
Year Home was built:
Type of primary heat:
How much coverage do you require on the dwelling?
Use the dwelling coverage amount from your existing policy, replacement cost if you have a current appraisal or we can do a calculation for you over the phone - just answer "I don't know" to this and we will contact you for additional details about your home.

Is this your primary residence?
Is there a rental suite in the home that is rented to others?

Discount information
What is your age? (please choose the age of the oldest person who will be named on the policy)
Is there an alarm system?
Is there a mortgage on the property?
Are you a member of Block Watch?
Do you have any other insurance policies (Home or Auto) currently with Harbord Insurance?
If yes, what is the policy number?

Additional coverages
Would you like earthquake coverage?
If yes, choose a deductible:

Thank you for your interest in a quote! One of our Home Insurance Specialists will find the market with the best price and coverage for you and will contact you shortly. A request for a quote is not confirmation of coverage.









© 2009 Harbord Insurance Services Ltd. All Rights Reserved. Privacy Policy
150-805 Cloverdale Ave, Victoria BC  V9X 2S9     #9-1594 Fairfield Rd. Victoria, BC  V8S 1G1    
#3-9764 Fifth St, Sidney BC  V8L2X2
High Value - Home Insurance - Auto - Commercial - Marine - Travel