DP1 QuoteRUSH Quote Form DP1 QuoteRUSH County * Select Alachua Baker Bay Bradford Brevard Broward Calhoun Charlotte Citrus Clay Collier Columbia Desoto Dixie Duval Escambia Flagler Franklin Gadsden Gilchrist Glades Gulf Hamilton Hardee Hendry Hernando Highlands Hillsborough Holmes Indian River Jackson Jefferson Lafayette Lake Lee Leon Levy Liberty Madison Manatee Marion Martin Miami-Dade Monroe Nassau Okaloosa Okeechobee Orange Osceola Palm Beach Pasco Pinellas Polk Putnam Santa Rosa Sarasota Seminole St Johns St Lucie Sumter Suwannee Taylor Union Volusia Wakulla Walton Washington Construct Type * Select Protection Class * Select 1 2 3 4 5 6 7 8 9 10 Distance To Coast * Select More than 15 Miles 3 to 15 Miles Less than 3 Miles (X-Wind) Age of Roof * Select 20 Years or Less Over 20 Years Losses in Past 5 Years * Select 0 1 2 3 4 5 Liability * Select Number Of Families * Select Coverage A - Dwelling Amount * Select $50,000 $55,000 $60,000 $65,000 $70,000 $75,000 $80,000 $85,000 $90,000 $95,000 $100,000 $105,000 $110,000 $115,000 $120,000 $125,000 $130,000 $135,000 $140,000 $145,000 $150,000 $155,000 $160,000 $165,000 $170,000 $175,000 $180,000 $185,000 $190,000 $195,000 $200,000 $205,000 $210,000 $215,000 $220,000 $225,000 $230,000 $235,000 $240,000 $245,000 $250,000 $255,000 $260,000 $265,000 $270,000 $275,000 $280,000 $285,000 $290,000 $295,000 $300,000 $305,000 $310,000 $315,000 $320,000 $325,000 $330,000 $335,000 $340,000 $345,000 $350,000 $355,000 $360,000 $365,000 $370,000 $375,000 $380,000 $385,000 $390,000 $395,000 $400,000 $405,000 $410,000 $415,000 $420,000 $425,000 $430,000 $435,000 $440,000 $445,000 $450,000 $455,000 $460,000 $465,000 $470,000 $475,000 $480,000 $485,000 $490,000 $495,000 $500,000 $505,000 $510,000 $515,000 $520,000 $525,000 $530,000 $535,000 $540,000 $545,000 $550,000 $555,000 $560,000 $565,000 $570,000 $575,000 $580,000 $585,000 $590,000 $595,000 $600,000 Other Structure (Cov. B) * Select $5,000 $10,000 $15,000 $20,000 $25,000 $30,000 $35,000 $40,000 $45,000 $50,000 $55,000 $60,000 $65,000 $70,000 $75,000 $80,000 $85,000 $90,000 $95,000 $100,000 $105,000 $110,000 $115,000 $120,000 $125,000 $130,000 $135,000 $140,000 $145,000 $150,000 $155,000 $160,000 $165,000 $170,000 $175,000 $180,000 $185,000 $190,000 $195,000 $200,000 $205,000 $210,000 $215,000 $220,000 $225,000 $230,000 $235,000 $240,000 $245,000 $250,000 $255,000 $260,000 $265,000 $270,000 $275,000 $280,000 $285,000 $290,000 $295,000 $300,000 $305,000 $310,000 $315,000 $320,000 $325,000 $330,000 $335,000 $340,000 $345,000 $350,000 $355,000 $360,000 $365,000 $370,000 $375,000 $380,000 $385,000 $390,000 $395,000 $400,000 0 Personal Property (Cov. C) * Select $5,000 $10,000 $15,000 $20,000 $25,000 $30,000 $35,000 $40,000 $45,000 $50,000 0 Loss of Use (Cov. D) * Select $5,000 0 Hidden arrowup6 Rate LiaAddon RateAddOn PCMultiplier DCMultiplier RateView RateAddOnView LiaAddOnView TIV PCMultiplierView DCMultiplierView RateMultiplier StartPremium PCSurcharge DCSurDisc Date Base Premium Admin Fee Inspection Fee Subtotal Tax (4.94%) FSLSO Fee (.06%) EMS Fee Total Premium TIV (A+B+C+D) Windstorm or Hail coverage Roof Coverage All Other Perils Med (Cov. M) Insured's Name * Agency or Agent Name * Agent's Email * Submit If you are human, leave this field blank. (904) 743-4314 | (844) 665-0300 | hello@specialtyis.com | P.O. Box 5517 Jacksonville, FL 32247