DP1 Quick Quote Form DP1 Quick Quote Quick Quote Questions 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 Construction Type * Select Protection Class * Select 1 2 3 4 5 6 7 8 9 10 Liability * 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 0 $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 Personal Property (Cov. C) * Select 0 $5,000 $10,000 $15,000 $20,000 $25,000 $30,000 $35,000 $40,000 $45,000 $50,000 Loss of Use (Cov. D) * Select 0 $5,000 $10,000 $15,000 $20,000 Number Of Families * Select Age of Roof * Select 20 Years or Less Over 20 Years Distance To Coast * Select More than 15 Miles 3 to 15 Miles Less than 3 Miles (X-Wind) Losses in Past 5 Years * Select 0 1 2 3 4 5 Roof Coverage Windstorm or Hail coverage All Other Perils Hidden arrowup6 RateView RateAddOnView LiaAddOnView LossAddOnView CoverageAView CoverageBView CoverageCView CoverageDView PCMultiplierView DCMultiplierView RateMultiplier Med (Cov. L) TIV StartPremium PCSurcharge DCSurDisc Date Premium Quote TIV (A+B+C+D) Base Premium Admin Fee Inspection Fee Subtotal Tax (4.94%) FSLSO Fee (.06%) EMS Fee Total Premium Contact Information Insured's Name * Agency or Agent Name * Agent's Email * Captcha Generate Quick Quote Reset Form If you are human, leave this field blank. (904) 743-4314 | (844) 665-0300 | hello@specialtyis.com | P.O. Box 5517 Jacksonville, FL 32247