Lamb Insurance of Houston, TX - FAST and FREE Texas Insurance Quotes Online!
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  • Business-Insurance-Houston.com

     
    E-Mail:
    glamb@farmersagent.com

    Local Phone:
    281-537-2700

    Website Design by:
    www.insurance-web-sales.com">Insurance-Web-Sales © 2006

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    Online Umbrella
    Insurance Quote Form
    One Simple Form - takes only 2-3 Minutes!


    Your Personal Data

    Your Name:
    Property Address:
    City:
    State: MUST be Texas!
    Zip/Postal:
    E-Mail (REQUIRED):
    E-Mail Again (for accuracy):
    Phone:
    Fax (optional):
     
    Umbrella coverage gives you a layer of liability coverage above your auto, homeowners, rental dwelling coverage, and RV (cycle, motor home, etc.), up to the limit you select. Standard policy is a $1 Million liability limit; but we also have policies available at $2 Million and $5 Million. Fill in ALL fields below:
     
    Dwelling Information

    # of dwellings you own and occupy (INCLUDING your home):
     
    total UNIT count of all rental dwellings    (NOT including units you own and occupy):
     
    Number of Automobiles you own (Describe Yr, Make & Model of each:
     
    Number of RV's you own:   (Include boats, RV's, motorcycles, motorhomes, etc.)
     
    Vehicle Operator's Information

    Number of Drivers: 1 2
    3 4 or more
     
    List AGES of all drivers:   (Include all children and household members.)
     
    Driving Records Clear?   (If not, list all cites and accidents per driver.)
     
    Coverage Information

    Limit of Coverage: $1 Million
    $2 Million
    $5 Million
    Underlying Auto Limits: $100/300/50
    $250/500/100
    $300,000 CSL
    $500,000 CSL
    Underlying Homeowner Limits: $300,000
    $500,000
    Underlying Rental Dwelling Limits:  (Rentals must have $500,000 liability INCLUDING Personal Injury coverages) $500,000 incl. P/I
    Other (not acceptable)
    Currently Insured? Yes No
    Name of Carrier & how long insured?
    Prior Claims? Yes No
    Describe claims in detail:
     

    Comments/Remarks:
     
    Send my quotation via: E-Mail
    Telephone - please call
    Fax
    Regular Mail


    Thank you for filling out this form COMPLETELY!

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    Lamb Insurance Agency   |  28 FM 1960 West, Houston, TX 77090
    Phone: 281-537-2700   Fax: 281-537-8502   Cell: 281-881-5756