Policy Type Primary Secondary Last Update (plumbing) # of Car Garage # of Units Electrical System Fuses Circuit Breaker Basement Yes No # of Stories Last Update Size of Decks Year Built Central Alarm No Yes Swimming Pool Yes No Square Feet Heating Any pets? Yes No Construction Last Update Brush Area Foundation Open Closed Central Air Yes No Current Earthquake Damage Type of Roof # of Fireplaces Prior Losses Past 5 Years Last Replaced # of Bathrooms Bankruptcy Ever Filed? Yes No Plumbing Garage None Basement Attached Detached Current Insurance Information Insurance Carrier Expires Deductible Current Insured Values Dwelling Personal Liability Personal Property Medical Payments Personal Injury Earthquake Coverage Earthquake Deductible Remarks Referred By: Please Select One: Bill Smallwood Jean Smallwood Bob Reuter Bill Smallwood III Robin Koeller Other