ࡱ> }|#` G#bjbj5G5G 4W-W-G0000||0K?t11111_2_2_2r>t>t>t>t>t>t>$@h'C>f5_2_2f5f5>11>Vx6x6x6f5F11r>x6f5r>x6x69L91x1 5ƌ05F9n;?HK? 9,C5|CL9L9&Cr9_23x63l 4Y_2_2_2>>n6 _2_2_2K?f5f5f5f5d8 D8  Safeco National Program Form: Yes: I want Rental Property Insurance For Real Time Policy Quotes Through Marshall Reddicks Network Call 800-841-5914 & Tell Our Professional Sales Representatives that You Are a Marshall Reddick Member! Your Name (as it appears on your loan):____________________________________________ Email _______________ Mailing Address:_______________________________________________ Zip___________ Phone:_____________________ Occupation: Employer:Social Security Number: Birth Date: _Occupation: Employer:Social Security Number: Birth Date: If New: The Anticipated Closing Date: What is the Purchase Price? Are insurance premiums impounded? ( Yes ( NoEscrow Account #________ Escrow Phone# The Following Information Will Be Needed to Quote:All StatesQuoteRequestFormProperty Address: # of Stories: ____Year Built: ________Structures Total Square Feet: ________ Building Replacement Value: $ _Have any Claims occurred on or to the property in the past 5 years? * ( Yes ( NoSingle Family? ( Yes ( No Owner Occupied? ( Yes ( No Tenant Occupied? ( Yes ( No Estimated Annual Rental Income: $ _ Exterior Wall Construction: Stucco: __, Masonry__, Brick __ Other (please describe):____Condo/Townhouse (Yes (NoDuplex? ( Yes ( No Garage: Attached__ Detached__ Garage: 1-car__, 2-car__ 3-car__Flooring Materials (indicate % of): Hardwood__, Tile__, Carpet__, Marble__, Other:_____________Number of Fireplaces? _Brick/Flagstone exterior walls? ( Yes ( NoHardwood or Custom Cabinets? ( Yes ( No Roof Type: Shake__, Comp__ Tile___Residence Shape: # of exterior corners: ___ (count all exterior corners for which framing is required) Granite/Marble Countertops? ( Yes ( NoLaundry Room ( Yes ( NoFamily/Recreation Room ( Yes ( NoSeparate Dining Room ( Yes ( NoTotal Value of Built-in Appliances? $_________Rent-Ready Contents Value $_________Number of Bathrooms:___Number of Bedrooms:___Den ( Yes ( No Office( Yes ( No Other Specialty Rooms (please describe): ____________________Central Heating & Air? __ Floor__, Wall__Heating Fuel: Gas__, Electric__ Other____ Wiring: Breakers? __ Fuses? __Plumbing Type: Galvanized __ Copper __ Alarms? (check all that apply): Burglar___, Fire___, Smoke___, Alarm Monitored? ___Basement? ( Yes ( No If yes, sq. ft: ____Is Basement Finished? ( Yes ( No Is the building on a slope? ( Yes ( No Foundation: Slab__ / Raised__Is this property Vacant? ____ If so, how soon will it be occupied? __________________________Within 1 mile of Tidal Waters? ( Yes ( No Distance to Fire Dept: __ Miles Dwelling within City Limits? ( Yes ( NoDwelling within 1200 feet of Brush? ( Yes ( NoProperty Manager Name & Email: Is interior of the Bldg sprinkled? ( Yes ( No Dwelling Bolted to Foundation? ( Yes ( No Finished Attic? ( Yes ( No Patio/Breezeway Enclosed? ( Yes ( No If your Building is over 25 years old, please provide month & year for updates to your home:_Age of Roof: ___Heating Updated: ___Plumbing Updated: ___Wiring Updated: ____*Remarks, including description of and amount paid on any claims to the property in the past 5 years: __________________ __________________________________________________________________________________________________________ Name of any other entity that may hold title to the property_______________________________________________________ Huggins/Dreckman Insurance Agency, Inc 12535 Seal Beach Blvd., Seal Beach, CA 90740 / CA Lic #. 0212199 562-594-6541 / Toll Free, CA Only: 800-400-3224 / fax: 562-594-0376 Stan Dreckman, extension 15 / Sharon Dodd, extension 19 Let Others Tell You the Reasons to Work with Huggins/Dreckman Insurance Agency, Inc. I have enjoyed working with you these last almost two years. You have always been professional and prompt in returning calls and emails and I appreciate that. Thank you for being my agent. L. Holmstrom, San Diego County "You gave an immediate response to our claims situation! Our claim was handled smartly. I like the personal relationship, and you don't try to sell me things I don't want. You get to the point." R. Boyd, Santa Ana, Real Estate Investor and Property manager "As an employee of the Apartment Owners Association for over 10 years, it has been my great pleasure to work with Huggins/Dreckman Insurance Agency. As their direct contact for advertising I have been encouraged by their friendly, professional manner . . . I highly recommend them and look forward to our continued relationship for many years to come." T. Viani, AOA Magazine Saving money is important, but I have maintained a long-term business relationship with Huggins Dreckman primarily because of the unparalleled high-quality customer service I receive from my agent Sharon Dodd. She is always responsive, helpful, pays great attention to detail and makes me feel like I am your firms most important client, even though I know Im not. Lee, Long Beach The help and understanding I have received from you through business is more than appreciated. Mark M., Norwalk You have been a great friend and excellent business adviser, Jan C., Clover Needlecraft Sharon is really great to work with our insurance needs. I do remember one occasion (of many)back in Dec. 2003 when she came through for us insuring our property in Hawthorne, Palmdale. I called her,I think, 2 days before closing on Dec 31. She took care of it from there. I have been referring her to our friends, family and some of my clients for there insurance needs. Ernie C., Chula Vista During the ups and downs of the insurance market in the last 10 years, our premiums have stayed as low as possible, keeping us competitive; we appreciate that you always are looking at the marketplace to create the best opportunity for us, Donald & Linda Patton, Patton Construction. I have been a client of Huggins/Dreckman Insurance for years, with coverage on two business ventures. Service is always prompt, courteous and THOROUGH. Stan and his staff take the initiative to keep my accounts updated and as cost effective as possible at all times. The insurance-related issues I've had over the years have been resolved very quickly and very much to my satisfaction. This company is all about great personal service without any pushy selling; there is not a single type of insurance that they have recommended stronglythat my legal/financial team has not agreed with. I would and have recommended this company to anyone in need of insurance coverage. Mimi, J-Box Industries, Inc. Huggins/Dreckman Insurance Agency, Inc 12535 Seal Beach Blvd., Seal Beach, CA 90740 / CA Lic #. 0212199 562-594-6541 / Toll Free, CA Only: 800-400-3224 / fax: 562-594-0376 Stan Dreckman, extension 15 / Sharon Dodd, extension 19 '*3Lz     / \ r s t ȷ櫜und[nWPEn<hPB_h+cCJhTh+cCJaJ h1]h+ch+chVh+cCJhh+c5CJ h+c5CJhpah5CJaJh4 +hpaB* CJ aJ phh4 +B* CJ aJ phhpahpaB* CJ aJ phhpaB*CJaJph hpahpa>*B*CJ aJ phhpahpaB*CJ aJ phhpahpaB*CJ$aJ$phhpaB*CJ aJ phhpa>*B*CJ aJ phN  t   $Ifgd+cgd+cgd+c$a$gdpagdpaG#        * , - 5 6 M N O P Z \ ] ^ ƼƶƶϠƼƶϠ|qhQ h+cB* phhMrh+c5hMrh+c5B* phhzh+c5B* CJphh+c5CJaJhzh+cB* CJph h+cCJhQ h+c5CJh>>h+cCJhQ h+cB* CJphhTh+c5CJaJ h+c5hQh+c5h+c hPB_h+c, , - 7 O P \ ] \SSSSSSS $Ifgd+ckd$$Ifl\) S|))   ) t0644 lal] ^ \SJSJJ $Ifgd+c $Ifgd+ckd$$Ifl\) S|))   ) t0644 lal     ۓyfVfVFh 5B*CJ^JaJphhU5B*CJ^JaJph$h h 5B*CJ^JaJphhTh+cCJaJhTh+cB* CJaJphh+cCJaJhVh+cCJhQ h+cB* ph ha>ph+c jqha>ph+ch+ch+c5B* phhMrh+c5B* phhQ h+cB* CJphh+cB* CJphh2\h+cB* CJph  9 D J R WRFFF5$$Ifa$gd+coZf $$Ifa$gd+cgd+ckd $$Ifl\) S|))   ) t0644 lalg)$ ! % & ( 8 9 C D I J Q R V W X h i k l ʺqqh\M\@hKh+cB* ^Jphh?h+c5B*^Jphh+c5B* ^Jphh8"Qh+c^J$hh5B*CJ$^JaJ$ph$hh+c5B*CJ$^JaJ$phh5B*CJ$^JaJ$ph$hl(h+c5B*CJ$^JaJ$phhl(5B*CJ$^JaJ$ph*h h+ch5B*CJ^JaJphh 5B*CJ^JaJphhU5B*CJ^JaJphR W $$Ifa$gd+coZfW X kd$$Iflrg !)W<F ````` t20644 lap2X k l z  $$Ifa$gd+c $Ifgd+c l x z ~  $ % & ' ( . / 2 C D J K N O P a b Ż񖎁}slslslslZs"h * h+cha>p5B* ^Jph ha>ph+c jqha>ph+ch+chTh+c5B* phh>>h+c5h+c5B* phh+c5B*^Jphh+chiZ5B* ^JphhiZh+c5^JhiZh+c5B* ^Jphh?h+c5^J h+c5^Jh+c5B* ^Jphh}h+c5B* ^Jph# % 3 B C I@444 $$Ifa$gd+c $Ifgd+ckd$$Iflrg !)W<F t0644 laC P ` a n  $Ifgd+c $$Ifa$gd+c b h i l m    ! " ' ( * 4 5 ; < ? @ S U ^ b ѶѬѬѬѬѝѓѓѶth+c5B* CJ^JaJphh h+c5B* ^JphhNP h+c5^JhKh+c5B* ^Jphh?h+c5^Jh}h+c5B* ^Jphh+c5B*^Jphh+c5B* ^Jph"h * h+cha>p5B* ^Jph jqha>ph+c ha>ph+c-   D;/;/ $$Ifa$gd+c $Ifgd+ckd]$$Iflrg !)W<F t0644 lag&$ + 3 4 A K V c k | $$Ifa$gd+c D;;// $$Ifa$gd+c $Ifgd+ckd $$Iflrg !)W<F t0644 lag&$ $%(FGMNQRceklmruvw!9:@AD»»»»»»»»»»h+cB* ^Jphh}h+c5B* ^Jphh?h+c5^J h+c5^J"h * h+cha>p5B* ^Jph ha>ph+c jqha>ph+chKh+c5B* ^Jphh h+c5B* ^Jphha>ph+c5^Jh+c5B* ^Jph2 )FS^nv $$Ifa$gd+cvwD;/// $$Ifa$gd+c $Ifgd+ckd$$Iflrg !)W<F t0644 lag&$"9EZf $$Ifa$gd+cDZ[\_abcefg  ':NO^defh%h+c5B* ^Jph h+c^Jh+cB* ^Jphha>ph+c5^JhTh+c5B*^Jphh h+c5B* ^Jph h+c5^Jh}h+c5B* ^Jph ha>ph+ch+c jqha>ph+ch+c5B* ^Jph/fgD;/// $$Ifa$gd+c $Ifgd+ckdj$$Iflrg !)W<F t0644 lag&$O/kd$$Iflrg !)W<F t0644 lag&$ $$Ifa$gd+c $Ifgd+cfhnqvxy !")*+,4=?BCMNOU鼬ڥ雑 ha>ph+c jqha>ph+chirh+c5^J h+c5^Jha>ph+ch5B* phh}h+c5B* ^Jphh h+c5B* ^Jphh%h+c5B* ^Jphh+c5B* ^JphhNP h+c5^J6Oiy$$Ifa$gd+coF $Ifgd+c $$Ifa$gd+c CN[pD;/// $$Ifa$gd+c $Ifgd+ckd$$Iflrg !)W<F t0644 lag&$UVYZkop#=^_efijk;߾ե߲}}}v߲ h+c5^Jheqnh+c5B* ^Jphh}h+c5B* ^JphhNP h+c5^Jha>ph+c5B* phh+c5B* ^Jphh%h+c5B* ^JphhiZh+c5h+c5B* phha>ph+ch5B* ph ha>ph+c jqha>ph+c.p $$Ifa$gd+c#>]D;;;/ $$Ifa$gd+c $Ifgd+ckdw$$Iflrg !)W<F t0644 lag&$]k $$Ifa$gd+c   ./569;YZ[abefgxyžžžž֢֓քtžžežžžh * h+c5B* ^JphhQh+c5>*B* ^JphhQh+c5B* ^JphhMrh+c5B*^Jphh}h+c5B* ^Jphha>ph+c5B* ph ha>ph+c jqha>ph+c h+c5^Jh+c5B* ^Jphh+ch65B* ^Jphh%h+c5B* ^Jph' .;D;;// $$Ifa$gd+c $Ifgd+ckd&$$Iflrg !)W<F t0644 lag&$;Zgwx $$Ifa$gd+c"58KN^cdefź{lbbb{ԑXh+c5B* phhNP h+c5^Jheqnh+c5B* ^Jph h+c5^Jh * h+c5B* ^Jphh}h+c5B* ^Jph"h * h+cha>p5B* ^Jphh+cOJQJh$6h+cOJQJha>ph+c5B* ^Jphh%h+c5B* ^Jphh+c5B* ^Jph ha>ph+c jqha>ph+c!I@444 $$Ifa$gd+c $Ifgd+ckd$$Iflrg !)W<F t0644 la $$Ifa$gd+ckd $$Iflrg !)W<F ````` t20644 lap2#9O_d $$Ifa$gd+c $Ifgd+cde_`D?7777$a$gd+cgd+ckd $$Iflrg !)W<F t0644 lag&$fK_`)+<ʻvbvP?3?hh r5CJaJ hh r5B*CJaJph#hh r5>*B* CJaJph&hh r56>*B*CJaJph#hh r5>*B*CJaJph hh>*B* CJaJphh|;)h+cCJh wh+cB* CJphh+cB*CJaJphh ]h+cB*CJaJphh ]h+cB*CJphhhB*CJaJphh ]h+c5 h+c5h wh+c5B* ph=%&     k %[$\$]^gd`Y %]^gd`Y %7$8$H$]^gd`Y $]a$gd`Y$a$gd<=IRs|#%&  ƸԬrjbS@S@S%h`Yh`YB*CJOJQJaJphh`Yh`YCJOJQJaJh`YCJaJh`YCJ$aJ$h`Y5B* CJ4aJ4phh`Y5B* CJ(aJ(phh`Y5CJ$aJ$hm[5CJ$aJ$hDllhDll5CJaJhh5CJaJh5B*CJaJphh`Y5B*CJaJphhU5B*CJaJph hh5B*CJaJphhhoO5CJaJkM"N"^"_"t"u"""""""""#F#G#渦ococoUoUoUFh`YhDllCJOJQJaJhDll5B*CJaJphhhDll5CJaJ hhDll5B*CJaJph#hhDll5>*B* CJaJph&hhDll56>*B*CJaJph#hhDll5>*B*CJaJphh`YCJOJQJaJ"h`Yh`Y5CJOJQJ\aJh`Yh`YCJOJQJ\aJh`Yh`YCJOJQJaJh`Yh`YOJQJkL"N""#G#$a$gdDllgd`Y 89%]^gd`Y %]^gd`Y21h:pm[/ =!"#h$% $$Ifl!vh5) 5 5 5) #v) #v #v) :Vl t65) 5 5) al$$Ifl!vh5) 5 5 5) #v) #v #v) :Vl t65) 5 5) al$$Ifl!vh5) 5 5 5) #v) #v #v) :Vl t65) 5 5) alg)$$$If!vh5 5<555&#v #v<#v#v#v&:Vl ````` t2655W5<5F5p2$$If!vh5 5<555&#v #v<#v#v#v&:Vl t655W5<5F5$$If!vh5 5<555&#v #v<#v#v#v&:Vl t655W5<5F5g&$ƭ$$If!vh5 5<555&#v #v<#v#v#v&:Vl t655W5<5F5g&$ƭ$$If!vh5 5<555&#v #v<#v#v#v&:Vl t655W5<5F5g&$ƭ$$If!vh5 5<555&#v #v<#v#v#v&:Vl t655W5<5F5g&$ƭ$$If!vh5 5<555&#v #v<#v#v#v&:Vl t655W5<5F5g&$ƭ$$If!vh5 5<555&#v #v<#v#v#v&:Vl t655W5<5F5g&$ƭ$$If!vh5 5<555&#v #v<#v#v#v&:Vl t655W5<5F5g&$ƭ$$If!vh5 5<555&#v #v<#v#v#v&:Vl t655W5<5F5g&$Ʊ$$If!vh5 5<555&#v #v<#v#v#v&:Vl t655W5<5F5/ $$If!vh5 5<555&#v #v<#v#v#v&:Vl ````` t2655W5<5F5p2$$If!vh5 5<555&#v #v<#v#v#v&:Vl t655W5<5F5g&$8@8 +cNormal_HmH sH tH DA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List .>@. +cTitle5CJ0j@j +c Table Grid7:V06U@6 +c Hyperlink >*B*phJ^@"J `Y Normal (Web)dd[$\$CJaJG ]^ IK00x@0K00 @0K00U@K00U0$RCF0K00ȋU0$RCFK00ל@0N$0K00U@0N$K00 8U@0K00\N@0 $/0 00Nt ,-7OP\]^9DJRWXklz%3BCP`an +34AKVck|)FS^nvw"9EZfgOiyC N [ p # > ] k  . ; Z g w x   # 9 O _ d e _ ` =%&     kLNI00000000000 0 0 0 0 00 0 00 00 0 0 0 0 00 0 00 0 0 0 0 0 00 00 00 000 00 0 00 000 000 000 00 0 000 000 000 000 000 0 00 00 00 00 000 0 0 000 000 00 00 0 0 0 0 0 000 0 0 00 00 000 000 0 0 000 00 00 000 0 000 00 0 00 00 0 00 00 00 000 000 0 0 0 0 0 0 0 0 00 0 0 00 0 000000000000000000000000000000@00Nt ,-7OP\]^9DJRWXklz%3BCP`anvw9EZfg  d e ` =%&     kLNI00000K00K00A"1"#,#0K00K00 K00 K00 K00 AP1PPQK0 0K0 0 K0 0 K0 0K0 0 K0 0K0 0 Ap>1>>>K00 K00 K00 K00K00 K00 K00K0%0 K0%0 K0%0 K0%0 K0%0 @:AK0+0K0+0 K0+0K0+0 K0+0K0+0 K0+0K0+0K0+0 K0+0K0+0 @0QRK060K060 K060K060K060 K060K060K060 K060K060K060 K060K060 2A01K0D0K0D0K0D0Ec@I0K0d0e@k0.`K0g04hK0g03K0g02K0f0A0K0i0.K0i0.K0i0.K0i0+K0l0+@0K0h0i@0K0j0k@0K0l0m@0G}K0n0o@0K0z0(@0 K0p0q/@0K0~0&@@0 K0r0s/@0K0x0K00 I00 h0^0j00j00j00j00j00j00j00j00j00j00j00j00j00j00j00j00j00h00h00h00h0rs@h00h0s 0 l b DfUf<G#!%),/36<>? ] R W X C  vfOp];dkG# "#$&'(*+-.01245789:;=@G#8@0(  B S  ? wQD1pxQ$pyQ#pzQT$p{Q#p|Q<o}Qo~Q*oQ(oQ$)oQd)oQvQTvxx^^I    iiI 9 *urn:schemas-microsoft-com:office:smarttagsplace= *urn:schemas-microsoft-com:office:smarttags PlaceType= *urn:schemas-microsoft-com:office:smarttags PlaceName8 *urn:schemas-microsoft-com:office:smarttagsCity l* .1puIe s|I333338e e <<=MFII?X} } ^} `B* CJo(ph. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.?gF        s<>^yxQ Q`Ib"B!Z!b)*3*u*4 +T+Z,,R2,wS01m2VQ3M7l8n;cG?9r?>SEPF;I%KHKlKLTzQ]+R_VmaW`Yw^(`J`a3az_bob`fShkiDll)Ynyin#Vq~rXs~t-yRCyWz,C}vmy k ; g  # 9 O d e I@$5GP@UnknownStanHuggins Dreckman InsuranceGz Times New Roman5Symbol3& z Arial;Wingdings5& zaTahomaK,Bookman Old Style"qhFf,& 5 15 1!h24d::2QHX)?+c2&Huggins/Dreckman Insurance Agency, Inc Dan YoungStan Oh+'0 (4 T ` l x(Huggins/Dreckman Insurance Agency, Inc Dan YoungNormalStan12Microsoft Office Word@hx@gI@6l_.@vƌ5՜.+,0 hp|  1 : 'Huggins/Dreckman Insurance Agency, Inc Title  !"#$%&'()*+,-./0123456789:;<=>?@ACDEFGHIKLMNOPQRSTUVWXYZ[\]^_`abcdefghijkmnopqrsuvwxyz{~Root Entry F@KƌData B1TableJCWordDocument4SummaryInformation(lDocumentSummaryInformation8tCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q