Riverbend Insurance Corporation
405 W Walnut Suite 1 Newport, WA 99156
509-447-0426 kevin
@riverbendins.com
dba: Kevin Wright Insurance Agency in State of CA
Riverbend InsuranceCorporation
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Name
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Date of Birth
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Address
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Phone Number
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Email
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Year Built
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Sq Feet all floors
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Basement?
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Yes
No
Crawl Space
Daylight
Walk out
Floors
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1 Story
1.5 Story
2 Story
Type
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Frame
Machined Log
Hand Hewn Log
Masonry
Singlewide Mobile
Doublewide Mobile
Triblewide Mobile
Majority Flooring
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Hardwood / Laminate
Carpet
Vinyl
# Baths
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1
1.5
2
2.5
3
3.5
4
Heat Source
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Electric
Gas
Oil
Wood Stove/ Fireplace
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Deck
Porch
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Sq Feet
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Covered?
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Yes
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Deck
Porch
None
Sq Feet
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Covered?
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Yes
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Deck
Porch
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Sq Feet
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Covered?
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Yes
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Garage
Shop
Barn
Storage Shed
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Sq Feet
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Attached to house
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Garage
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Storage Shed
None
Sq Feet
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Attached to house
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Garage
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Storage Shed
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Sq Feet
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Attached to house
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# of Acres
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Pool
Trampoline
Hot Tub
# Pets / Animals
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Type and Breed
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Flood Coverage?
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Yes
Not Desired
Home Owner Assoc.
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Yes
No
Earthquake Coverage?
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Yes
Not Desired
Current Ins. Company
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Approx Annual Premium
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Non Renewed?
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Yes
No
Describe and Claims in the past 5 years
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Other Information or comments
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mailto:rates@riverbendins.com
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