SURPLUS LINES
HOMEOWNERS PROGRAMS

Quaker Special Risk specializes in monoline Surplus Lines homeowners risks. We have the unique market access and underwriting expertise to fit your clients’ needs. Complete the form below to get a quote!

"*" indicates required fields

Agent Name*

Agent Email*

Agent Phone

Agency Name

Named Insured*

Mailing Address

Street Address Address Line 2 City State ZIP Code

Location Address

Street Address Address Line 2 City State ZIP Code

Occupancy

Year Built*

# Families

Construction Type

Protection Class

Cov A Limit

Cov B Limit

Cov C Limit

Cov D Limit

Liability Limit

MedPay Limit

AOP Deductible

Comments

This field is for validation purposes and should be left unchanged.

For more information, please contact:

Mary Roy
Vice President, Personal Lines
mroy@quakerma.com
508-755-6210 Ext. 124