Get A Quote

At Cornerstone Insurance Agents Ltd., we make it easy for you to find the right insurance coverage that fits your needs. Whether you’re looking for auto, home, marine, business, or professional insurance, we’re here to help. Complete the form below and one of our expert agents will contact you with a tailored quote.

Private Motor insurance form
Name
Name
First
Last

Private Insurance Quote Questionnaire

Type of Motor Policy:

Driving History

Previous Insurance Details

Any physical or medical disabilities which may affect driving?
If Yes, Choose All That Apply

If Yes

Is policy to be joint held?

If Yes, Joint Policy Holder

Has joint Policy Holder ever had Motor Insurance in their one name?
Have Joint Policy holder had any Motor Claims under their own Insurance in the last 5 year?

If Yes

Vehicle Details

Vehicle Purchased New or Secondhand?
Are there any loans on the vehicle?

Contact Us, If More Than One Vehicle Please

Will you have additional drivers?

If Named Drivers

Name
Name
First
Last
Any Motor Claims in the last 5 years?

If Yes

Contact Us, If More Than One Named Drivers Please

Home insurance form
Name
Name
First
Last

Commercial Property Insurance (Fire & Perils)

Policy Type
Is it within 200 ft. of Sea/​ Canal/​ Other Body of Water:
Construction of Exterior Walls:
Construction of Roof:
Use of Home:
Description:
Number of Storeys:
Security features:
Do you require Liability Insurance for more than $500,000? (standard policy limit)
Have you had any claims or losses in last 5 years? (e.g. burglary, fire, hurricane)
Any history of flooding?
Do you have a mortgage?
Do you have a current Appraisal Report?
Boat Insurance form
Name
Name
First
Last

Marine Insurance Quote Questionnaire

Material of Boat:
Boat Type:
Fuel:
Use of Vessel:
If commercial:
Navigating limits:
Amount of liability required:
Do you have any past claims within the last 5 years?
Contractors insurance form
Name
Name
First
Last

Construction Insurance Quote Questionnaire

Type of Construction:
How long will it take for the work to be completed?
Construction of Exterior Walls:
Construction of Roof:
Tools & Equipment Cover:
Does project involve working from heights above 30 ft?
Amount of Public Liability required?
Amount of Employers Liability required?
Bond Required?
Business insurance form
Name
Name
First
Last
Coverage Required:
Construction of Exterior Walls:
Construction of Roof:
Have you had any claims within the past 5 years?
What security features do you have in place?

Commercial Property Insurance (Fire & Perils)

Coverage Options:
Values to be insured:
Select any additional policies of interest. We will contact you for further details:
Professional Liability form
Name
Name
First
Last
Where is business conducted:
Amount of Liability Coverage required:
Quote(s) Request for:

If Public Liability

Premises liability required only:
Products liability:
Do you have any past claims within the last 5 years?

If Employers Liability

Do you have any past claims within the last 5 years?
Limit of liability required:

If Professional Indemnity

Limit of liability required:
Do you have any past claims within the last 5 years?

Need help with something else?

No matter where you live or what you drive, we find the policies that are right for you.