Sava Insurance located in Waterford, CT

Please provide the following information to obtain a quote:

Sava Insurance is Licensed in CT and Rhode Island only.

Please remember, that no coverage should ever be considered bound until you have received confirmation from our office.

What effective date would you like us to quote your equipment? *

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Please provide us with your contact information to complete this quote form:

What is your name? *

What is your address? *

What is your e-mail address? *

What is your phone number? *

What type of phone number is this? *

How did you hear about us? * Name Company

What is the best time to contact you? *

Please provide information on the first item you would like quoted:

Please note that you can add information for up to four items. If you have more than four items, please contact our office.

Year: *

Make: *

Model: *

Serial number: *

Current value: *

Make sure that this value recognizes depreciation of the equipment.

What deductible would you like quoted? *

Please describe: *

Describe how this equipment is owned: *

Name and address of leasing institution: *

Name and address of lending institution: *

Please provide information on the second item, if needed: SKIP

Year:

Make:

Model:

Serial number:

Current value:

Make sure that this value recognizes depreciation of the equipment.

What deductible would you like quoted?

Please describe:

Describe how this equipment is owned:

Name and address of leasing institution:

Name and address of lending institution:

Please provide information on the third item, if needed: SKIP

Year:

Make:

Model:

Serial number:

Current value:

Make sure that this value recognizes depreciation of the equipment.

What deductible would you like quoted?

Please describe:

Please describe how this equipment is owned:

Name and address of leasing institution:

Name and address of lending institution:

Please provide information on the fourth item, if needed: SKIP

Year:

Make:

Model:

Serial number:

Current value:

Make sure that this value recognizes depreciation of the equipment.

What deductible would you like quoted?

Please describe:

Describe how this equipment is owned:

Name and address of leasing institution:

Name and address of lending institution:

Would you like unscheduled items quoted?

The value of any one item must be less than $1,000 in order to be categorized as unscheduled equipment.

What limit would you like us to quote for unscheduled equipment? *

Do you currently have inland marine insurance? *

Name of insurance company:

Policy number:

Date coverage expires:

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Reason for requesting a quote: *

Additional information:

Comments or additional information:

I accept the Terms and Conditions

Inland Marine

Please provide the following information to obtain a quote:

Please provide us with your contact information to complete this quote form:

Additional information: