Personal Auto Insurance Quote

To get a quote from all of the companies that we represent, including Safeco, please submit your information to the agency via the form below.
Let us know what we can do. Thanks!!

Tell us about yourself First Name: Last Name: Contact Phone: Fax: E-Mail: City: State: Zip: Name of your current insurance company: How long have you carried your insurance coverage there? Select... 0-1 Year 2-3 Years 3-5 Years 5-10 Years Over 10 Years   Tell us about the licensed drivers in your household. Driver #1 Gender: Male/Female ? Female Male Date of Birth: Married: No/Yes ? No Yes Driver's License# Social Security # Driver #2 Gender: Male/Female ? Female Male Date of Birth: Married: No/Yes ? No Yes Driver's License# Social Security # Driver #3 Gender: Male/Female ? Female Male Date of Birth: Married: No/Yes ? No Yes Driver's License# Social Security # Driver #4 Gender: Male/Female ? Female Male Date of Birth: Married: No/Yes ? No Yes Driver's License# Social Security #   Tell us about the vehicles Vehicle #1 Model Year: Model: (i.e. Caravan, Camry) Make: (i.e. Dodge, Toyota) Vehicle ID#: Vehicle Use (select one): Select... Pleasure <3 miles 1-way to work 3-10 Miles 1-way to work Over 10 miles 1-way to work Business Use Vehicle #2 Model Year: Model: (i.e. Caravan, Camry) Make: (i.e. Dodge, Toyota) Vehicle ID#: Vehicle Use (select one): Select... Pleasure <3 miles 1-way to work 3-10 Miles 1-way to work Over 10 miles 1-way to work Business Use Vehicle #3 Model Year: Model: (i.e. Caravan, Camry) Make: (i.e. Dodge, Toyota) Vehicle ID#: Vehicle Use (select one): Select... Pleasure <3 miles 1-way to work 3-10 Miles 1-way to work Over 10 miles 1-way to work Business Use Vehicle #4 Model Year: Model: (i.e. Caravan, Camry) Make: (i.e. Dodge, Toyota) Vehicle ID#: Vehicle Use (select one): Select... Pleasure <3 miles 1-way to work 3-10 Miles 1-way to work Over 10 miles 1-way to work Business Use Tell us about your choice of coverage Bodily Injury Liability: Amount paid for injured persons $25,000 per person/$50,000 per accident $50,000 per person/$100,000 per accident $100,000 per person/$300,000 per accident $250,000 per person/$500,000 per accident $300,000 Combined Single Limit $500,000 Combined Single Limit State Minimum Property Damage Liability: Amount paid for damaged property. $25,000 $50,000 $100,000 State Minimum Comprehensive Deductible: (Damage to vehicle by fire, theft, vandalism, etc. Vehicle 1: Vehicle 2: Vehicle 3: Vehicle 4: None Req. $50 $100 $200 $500 $1000 None Req. $50 $100 $200 $500 $1000 None Req. $50 $100 $200 $500 $1000 None Req. $50 $100 $200 $500 $1000 Collision Deductible: (Damage caused as a result of impact.) None Req. $100 $200 $500 $1000 None Req. $100 $200 $500 $1000 None Req. $100 $200 $500 $1000 None Req. $100 $200 $500 $1000 Comments or Questions The quote you receive is an estimate and although fairly accurate, does not represent exact cost. Because of the many attributes that determine price, an exact figure cannot be given until we discuss further information with you. By submitting this proposal form, the sender permits S & R Insurance Services to run appropriate reports (Motor Vehicle Records, CLUE Reports, and NCF Reports) as required by the companies S & R is quoting through. Thank you for requesting a quote.