Kevin E. Severance Insurance Agency Kevin E. Severance Insurance Agency  Insurance Navigators Insurance Agency
Toll Free 800-816-7714  -  Ph: (281) 333-3100  -  Fax. 866-796-0610

Home Owner Insurance

Please fill in the request form below.
Note that fields marked with a * are required entries.
When the form is complete, click on the "Send Request to Kevin E. Severance Insurance Agency" button.

Insured Information
Customer No.
Kevin E. Severance Insurance Agency

EMail Address *
(Quote will be returned to this address.)

Name of 1st Insured *


Name of 2nd Insured


City/State/Zip (all three fields required) *
County *

Phone Number (with Area Code) *

Social Security Number

Driver License
Home Information
Address of the property to be quoted:
ZIP code:
Please select the property type:
Do you currently own (or are you in the process of purchasing) this property? yes   no
Do you now reside, or plan on residing at this property within the next 12 months? yes   no
How much Residence coverage do you want?
How much personal liability coverage do you want
Please select your desired deductible
Approximate year property built:
Approximate livable square footage of residence: (Excluding basement, if any):
Is this your primary or secondary residence? primary   secondary
Have you reported any claims or losses to your insurance within the past 5 years? yes   no
Is business or farming conducted on this property? yes   no
Do you have any of the following breeds of dogs: Chow, Doberman, German Shepherd, Pit Bull, Rottweiler, Wolf Hybrid, or mix of these? yes   no
House design
Number of bedrooms
Number of bathrooms
Exterior wall type (60% or more):
Roof type
Roof age
Garage type
Describe Foundation or Basement
Wiring type
Service panel type
Burglar Alarm
Central Fire Alarm
Fire station
Fire hydrant
Municipal location
Please describe the heating system
Number of gas, pellet or wood fireplaces or stoves
Is your home prone to flooding or located in a designated flood plain?
Property Accessories (Check all that apply)   Dead Bolts   Air Conditioning
Swimming Pool   Smoke Detectors   Covered Deck/Patio   Tennis Court
Fire Extinguisher   Uncovered Deck/Patio   Trampoline   Indoor Fire Sprinkler
We appreciate your business and want you to know we will strive to provide you with the best insurance service in the Industry.

Rewrite in
the field the
following number:

This allow us to know that you are human and not a web spider nor robot.

Discover The Difference
Tell a Friend


 RV Insurance
RV Insurance

 Marine Insurance
Marine Insurance

 Motorcycle Insurance
Motorcycle Insurance

 Fishing Yachts Insurance
Fishing Yachts Insurance

 Sport Bike Insurance
Sport Bike Insurance

 Pontoon & Houseboat Insurance
Pontoon Insurance

 Class B Motorhome RV Insurance
RV Motorhome Class B

 PWC Insurance
PWC Insurance

 Truck Insurance
Truck Insurance

 Fishing Boat Insurance
Fishing Boat Insurance

 Chopper Insurance
Chopper Insurance

 Houseboat Insurance
Houseboat Insurance

 Class C Motorhome RV Insurance
RV Motorhome Class C

 Sailboat Insurance
Sailboat Insurance

 Townhome Insurance
Townhome Insurance

 Runabout Insurance
Runabout Insurance

 Motocross Insurance
Motocross Insurance

 Toterhome Insurance
Toterhome Insurance

 Beach House  Insurance
Beach House Insurance

 Sport Chassis Insurance
Sport Chassis Insurance

 Wakeboard Boat Insurance
Wakeboard Boat Insurance

 RV Travel Trailer Insurance
RV Travel Trailer

Welcome  -  About Us  -  Contact Us  -  Coverage  -  Companies  -  Location  -  Weather  -  Links
Marine Insurance  -  RV Insurance  -  Auto Insurance  -  Home Owner  -  Motorcycle
Toll Free 800-816-7714   -   Ph: (281) 333-3100   -   Fax. 866-796-0610
3027 Marina Bay Dr. Suite 309   -   League City, Texas 77573

 Web Design by Uster Enterprise Inc  Web hosting by Uster Enterprise Inc  web submission by Uster Enterprise Inc  search engine ranking by Uster Enterprise Inc

Designed by UEI
(713) 412-6704
Webmaster Cree par UEI
(713) 412-6704