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Insurance Quote Form
One Simple Form - takes only 2-3 Minutes!
Your Personal Data
 
Your Name:
Property Address:
City:
State: MUST be Connecticut!
Zip/Postal:
E-Mail (REQUIRED):
E-Mail (again for accuracy):
Phone:
Fax (optional):
 
Dwelling Information
 
Year Dwelling Built:
Home Square footage:
 
# Units in common bldg.:
 
Type Roof: Shingle Wood Shake
Tar/Gravel Spanish Tile
 
Number of stories: One Two
Three 4+
 
Do you own animals or pets? Yes No
If yes, list type/for dogs, list breed:
 
Are You Near Brush Area? Yes No
 
# of feet to nearest
fire hydrant: 		# of miles to nearest
fire station:
 
Currently Insured? Yes No
Name of Carrier & how long insured?
 
Prior Claims? Yes No
Describe claims in detail:
 
Plumbing type: Copper Galvanized
Mixed (Copper/Galvanized)
 
Circuit Breakers or fuses? Breakers Fuses


# Fireplaces: # Chimneys:
 
Special features
(i.e., deck, air conditioning, alarm systems, pool, etc.)
 
Coverages:
 
Contents $ Loss of Use $
Liability Cov. $ Deductible $
($250, $500, $1,000, etc.)
 
Comments/Remarks
(describe any scheduled jewelry, in-home business, or other special coverages needed here):
 
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More About The Adinolfi Group, Inc.
Agency Owner, Advisor Rich Adinolfi Agency Owner, Advisor
Rich Adinolfi

Thanks for visiting! I'm Rich Adinolfi, Agency Owner of The Adinolfi Agency. We have been providing Connecticut residents with quality customer service for more than 20 years and want the chance to show you our outstanding online service and pricing!

We would like to speak with you personally about your Connecticut insurance needs. Please phone me, M-F 9am - 5:30pm (EST), or if you prefer, request quotes online using our convenient website forms. We promise to be responsive and informative, whether by phone or online. My staff and I look forward to serving you.


commercial auto insurance quote Commercial Vehicle Insurance Program

 
Our agency specializes in your commercial vehicle insurance. Whether you have a car you use in business, or a contractor using your truck in your operations, we can help.

Get a FAST & FREE Online Commercial Vehicle quote today.


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    Connecticut homeowners, automobile, life and long term care insurance and other insurance for CT residents. Free CT insurance quote.