Rent and Rehab Complete the below request form and our team will be in touch ASAP. How many separate properties do you need a quote for right now? *Please select an option1234If you need quotes for more than 15 properties, please email *protected email* and we will personally assist with your request.Are you a current client of Farmers Insurance? *Please select an optionNo, I'm a new clientYes, I'm an clientWhat effective date do you want for your new insurance? *Please note, we are not able to backdate coverage. Today's date is the first available day for coverage to begin.Is the property held in your personal name or another legal entity (LLC, etc...) *Please select an optionHeld in my personal nameHeld in another entity (LLC or OtherEntity Name *Personal InformationFirst Name *Last Name *Date of Birth *Email Address *Phone *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Physical Property InformationStreet Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *CountyBuilding Type *Please select an optionSingle Family Residence2-4 UnitsCondoTownhouseIntended Use *Please select an optionLong Term RentalFlip / RehabVacantBuilding Coverage Amount Needed ($) *USDFor a "flip" property, use the purchase price + your renovation estimate to determine the property coverage amount.Monthly Rent *USDPurchase Method *Please select an optionConventional PurchaseCreative Finance MethodPolicy Payment Method *Please select an optionI'm paying for this policy directlyI'm paying through a title company or escrow accountLender / Mortgagee InformationLender/Mortgagee *Please select an optionYes. there is a lender / mortgageeNo, there is not a lender / mortgageeLender/Mortgagee Name *Please provide the full name of the lender.Lender/Mortgagee Email *Lender/Mortgagee Mailing Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Additional PropertiesBuilding Coverage Amount Needed ($)USDFor a "flip" property, use the purchase price + your renovation estimate to determine the property coverage amount.Policy Payment MethodI'm paying for the property directlyI'm paying through a title company or escrow accountSame Lender/Mortgagee for this property as with property 1?Yes, same lenderNo, different lenderAdditional InformationIf this is a Rehab/Flip, are you acting as your own General Contractor for your deals?No, I am not acting as my own GC for my deals.Yes, I'm my own GC. Please help me get General Liability Insurance for that exposure.Yes, I'm my own GC. I already have General Liability Insurance for that and don't need your help.Your property insurance program DOES NOT cover construction liability. You need General Liability Insurance even if you're only acting as a GC on your own deals.What else do we need to know to deliver you an outstanding experience?Communication Consent *I authorize Farmers Insurance to communicate with me using the information provided on this form for the purpose of assisting with my insurance program.. Farmers Insurance is committed to respecting our current and future clients' privacy and communication preferences. So that we may remain compliant with state and federal regulations, we need your expressed permission to communicate with you using phone, text, email, and ringless voicemail as needed.This consent has no time restriction and is offered in perpetuity. You may opt out of all future communication at any time by making your preferences known to us.Farmers Insurance operates by the simple rule of "treat other people the way you want to be treated." Send Request
