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? Please Select Email Phone

Email:

Phone:

Location of property to be insured

Street Address:

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 insurance in the last 3 years? Please Select Yes No Not Sure

Have you had any claims or losses in the last 5 years? Please Select None One Two Three Four More than Four

Is there business conducted on the premises? Please Select Yes No

Property information

How much Contents coverage do you require?

Do you have any roommates? Please Select Yes No

Discount information

What is your age? Please Select Under 45 45-59 50-64 65 or over (please choose the age of the oldest person who will be named on the policy)

Is there an alarm system? Please Select None Monitored Not Monitored

Are you a member of Block Watch? Please Select Yes No

Do you have any other insurance policies (Home or Auto) currently with Harbord Insurance? Please Select Yes No

If yes, what is the policy number?

Additional coverages

Would you like earthquake coverage? Please Select Yes No

If yes, choose a deductible: Please Select 5% 10%

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