You can contact us by filling out the form to the right. Once we recieve your message we will contact you within 24 hours by the method you specify. You can also contact us at: Corner E. Laurel Circle Mt. Pleasant Road P.O. Box 129 Norvelt, Pa 15674 Phone: (724) 423-6775 Fax: (724) 423-6758	Homeowners Quote Please complete the following so we may prepare a free, no obligation auto insurance quote for you: Contact Information
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	* Quotes only available to PA residents Current Policy Information (If you are not currently insured, please skip to Dwelling Information)
	Current Homeowners Insurance Company: Policy Effective Dates: From: To: Dwelling Information Dwelling Replacement Value: Liability Amount: 100,000 300,000 500,000 1,000,000 Deductible: 250 500 1000 Other Year Built: Construction: Frame Masonry Other Distance to nearest Fire Hydrant 0-500 500-1,000 Over 1,000 Feet Distance to nearest Fire Dept: 0-3 Miles 3-5 Miles Over 5 Miles Woodburning Stove Yes No Any Dogs: Yes No If yes: Male Female Breed: Trampoline: Yes No Full Time Homemaker: Yes No Smokers: Yes No Smoke Detector: Yes No Fire Extinguisher: Yes No Deadbolt Locks: Yes No Central Station Alarm: Yes No If a Moble Home, please advise Year Built, Make, Size & Value:
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