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Get a Quote!


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Texas Dept of Insurance


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Errors and Omissions Quote


Thank you for filling out this form COMPLETELY!

We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency release this information via the method you have chosen, and to release us any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

Generated with MOOJ Proforms Basic 1.2
* Required information.

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Your Name: *
Company Name:
Type of Organization:
Street Address:
City, State, and ZIP:
Telephone #: *
E-Mail (required): *
Limits of Liability (Per Claim/Aggregate)
Deductible (Per Claim):
Desired Effective Date:
Date Company Established (MM/DD/YYYY):
Projected Yearly Gross Commissions $:
Your firm provides the following services (click all that apply)?
Real Estate Leasing
Property Management
Commercial Real Estate Sales
Business Brokerage
Real Estate Appraisal
Construction Development
Mortgage Brokerage
Total licensed agents and/or independent contractors (including owners)?
Does firm derive more than 25% of revenue from a single client?
In the past 5 years, has anyone at the firm (check all that apply):
Had license revoked
Been investigated
Subject to disciplinary action
Has anyone at the firm been the subject of a claim or suit in the last 5 years?
Are you aware of anything that may give rise to a claim or suite in the future?
Has your insurance been, canceled, non-renewed, or declined in the last 5 years?
Do you currently maintain Real Estate Errors & Omissions Insurance?
Please attach a copy of your Declaration page to obtain prior acts coverage:
Yes, I agree to the terms and conditions, please send me a quote NOW! *

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NewsFlash!

Superior Insurance has access to multiple Errors and Omissions markets and can find the most competitive rates for your policy!

Insurance Poll

What is most important to you when purchasing insurance?

Policy content - 0%
Price - 0%
Financial strength of the carrier - 0%
Customer service - 50%
Having a dedicated agent - 0%
Buying online, convenience - 50%

Total votes: 2
The voting for this poll has ended on: 01 Jul 2013 - 11:32