Quotes--Homeowners Insurance

We would welcome the opportunity to provide you with a free, no obligation price quote to insure your home. As an independent agent, we are able to compare a number of different insurance providers to make sure you receive the best price and the right amount of insurance for your budget and your unique situation.


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Policy Holder

Contact Name*
Date of Birth*
Email*
Phone Number

Property Location

Address*
City*
State
ZIP*
County

Current Insurance Information

Company Name
Deductible Desired
Amount of Liability

Dwelling Information

How Many Floors? 1 Story
1.5 Story
2 Story
Bi-Level
Tri-Level
Other 
Type of Construction Wood
Stucco
Masonry
Brick Veneer
Aluminum Siding
Other 
Other Features (check all that apply) Dead Bolts
Smoke Detectors
Fire Extinguisher
Central Station Fire Alarm
Central Station Burglar Alarm
Home Located within 5 miles of Fire Station
Home Located within 1000 feet of a Fire Hydrant
Swimming Pool
Trampoline
Home located within City Limits

Claims

List any claims in past 3 years:

 

Date of Claim

Amount Paid

Claim Type

Description

1.

2.

3.


How did you hear about us?*  

C. John Crane, Inc.--Your Peace of Mind is Our Business.


C. John Crane, Inc.    670 Abbott Road    Buffalo, NY 14220    t:716.823.6230    f:716.824.5808