Renters Quote 

Renters Insurance Quote
Full Name:  
Day Telephone:  
Street Address:  
Eve Telephone:  
City, State & Zip:  
Fax:  
E-Mail Address:  
Your occupation:  
Best Time To Reach You:  
Date of Birth:
Social Security #

Current Insurance Information
Insurance Company Name:  
(NOT Insurance Agency/Broker) 
Policy Exp. Date:  
$ Contents Insured for:  
Current Ded:  
Premium Amt:  
 
Policy Term:

General Information
Will you or do you live on this property:
yes no
How much coverage do you want on your personal property:
$
How much personal liability:
$100,000 $300,000
$500,000 $1,000,000
Deductible:
$500 $750 $1,000
$2,000
Number of Units:
Number of Stories:
Is there a 24-hour door man:
yes no
Are there elevators:
yes no
Year Built:
(yyyy)
Approximate Square Feet:
Have you reported any claims or losses to your insurance company within the last 5 years
yes no
Type of Construction:
brick wood frame
cinder block other
Roof Type:
composite shingle tile
wood shingle other
Roof Age:
years (if unknown, please indicate)
Burglar Alarm:
yes no
Heating System:
forced air electric boiler
oil propane
Number of gas or wood fireplaces or stoves:
What floor do you live on:
Number of bathrooms:

Additional Information
Any business conducted in home:  (if yes, please describe)
 yes no
List values of any jewelry, furs, or specialty items:  
List pets & breeds:  

Additional Comments
Please give any additional comments or questions

No coverage of any kind is bound or implied by submitting information via this online form

  • Information from you and other sources, such as your driving, claims and insurance histories, may be used to calculate an accurate price for your insurance.
  • We will not distribute information to other parties other than for insurance underwriting purposes.
  • By checking the box below you agree to release us from any liability should this information be accidentally viewed by others.

YES! I Agree
Enter the security code you see above. Code is NOT case sensitive. *

Site Mailing List 
Serving Virginia For Over 140 Years!

PO Box 306
1404 South Main
Farmville, VA 23901
Phone: 434-392-5405
Email: info@harwoodins.com

 

 

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Community Involvement:

  • Board of Trustees, Hampden Sydney College 2000 – 2013
  • Board of Trustees Randolph-Macon Academy 2002 - 2004
  • Board of Directors, 1st National Bank of Farmville/1st Virginia Bank 1980-1995
  • Virginia Commission of State and Local Governments’ Responsibility and Taxing Authority 1995 – 1996*
  • Commission on the Future of Higher Education in Virginia*
  • Tobacco Indemnification and Community Revitalization Commission 2005 – 2009**
  • Chairman, Prince Edward County United Way, 1988
  • Chairman, Poplar Hill Community Development Authority 2000 – 2004
  • President, Randolph-Macon Academy Alumni Association 2002 – 2004
  • YMCA
  • Farmville Area Chamber of Commerce
  • Farmville Jaycees
  • Farmville Rotary Club
  • Mission work in Honduras
  • Farmville Lions Club
  • Farmville Masonic Lodge
  • Longwood College Center For the Visual Arts
  • Southside Virginia Red Cross
  • Active annually in state and federal lobbying for client and industry advocacy.
  • Veterans of Foreign Wars, Life member
  • Insurance Education for Habitat For Humanity Recipients

 

*Appointed by Governor George Allen
**Appointed by Governor Mark Warner