New Jersey insurance from The Fig Leaf Insurance Agency
The Fig Leaf Agency is New Jersey's Insurance Warehouse! FAST & FREE Quotes Online.
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Personal Auto, Homeowners Insurance for New Jersey from the Fig Leaf Insurance Agency
Personal Auto Insurance

Homeowners Insurance

Boat Insurance

Personal Umbrella

Life Insurance

Health Insurance


Commercial and Business Insurance from the Fig Leaf Insurance Agency
Business Owners Insurance

Commercial Auto Insurance

Workers Comp Insurance

General Liability Insurance

Commercial Umbrella


Other Insurance Services from the Fig Leaf Insurance Agency
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More About Our Agency

Office Map/Directions

Our Privacy Notice

Questions? E-Mail Us!
 
Online Umbrella
Insurance Quote Form
One Simple Form - takes only 2-3 Minutes!
Your Personal Data

Your Name:
Property Address:
City:
State: MUST be New Jersey!
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:
 
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Telephone - please call
 Fax
Regular Mail

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The Fig Leaf Insurance Agency . 1043 Raritan Road . Clark, NJ 07066
Toll Free Phone: 1-877-984-3344 . Phone: 1-732-388-FIGS . Fax: 1-732-388-1187
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