Sample Package | Article | Get a Quote | A Testimonial

Just fill out the form below and The Insurance Centre will get back to you within two business days with a no obligation quote. If you don't feel comfortable filling out the online application, please email your name and phone number and a representative will be in contact with you to discuss your needs. Or you can call 613.544.5313.

IMPORTANT: Arranging general insurance will require personal visits to our office to complete applications and provide signatures. In order to maintain a high level of service we are unable to consider requests for quotations from outside the Greater Kingston area.

Name of Church	Religious Affiliation
Address	City
Province	Postal Code
Pick one ... Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Saskatchewan Yukon
Telephone	Fax
Contact Name (Last, First)	Email
Present Insurer
Policy Number	Renewal Date
	DD/MM/YY
Building	Contents
Liability	Deductible
Other	Policy Premium
Year Built	Additions
Renovations	Ground Floor Area
	sq. ft.
Basement	Wall Construction
Yes No Size Sq. Ft.	Fire Resistive Masonry Brick Veneer Frame
Roof Type	Roof Construction
Flat Slope Peak Other	Wood Joist Concrete Steel Deck Other
Roof Covering	Floor Construction
Tar & Gravel Asphalt Shingle Metal Other	Wood Joist Concrete Other
Steeple	Stained or Leaded Glass
Yes No • Height f t. • Construction • Value $	Yes No Value $
Illuminated Sign
Yes No Value $
Primary Source	Secondary Source
Forced Air Electric Baseboard Hot Water/Steam Other	Electric Baseboard Wood Stove Other
Boiler
Make Age	P.S.I. Level Other
Overcurrent Protection	Amp Rating
Circuit Breakers Type S Fuses Other fuses
Age of Electrical Panel	Age of Wiring
Responding Firehall	Distance to Firehall
	km
Distance to nearest Fire Hydrant	Sprinkler System
metres	Yes No
Alarm
• Fire alarm Monitored Local • Intrusion Alarm Monitored Local
Is cash left overnight on premises?
Yes No If Yes, Please give details ...
Do you have a safe?	Class of Safe
Yes No	1 2 Better
Do you require insurance on your manse?
Yes No
Any other properties?
Yes No If yes, please give details of coverages required ...
Church Congregation	Non-Profit Daycare
• No. of Members • No. of Ministers • No. of Officers	• No. of Children • Amount of Daycare Revenue: $
Private School
• No. of Students • Amount of Revenue: $
Counselling Centre
• Are fees charged? Yes No If yes, amount of Revenue: $ • Please give details on qualifications of counsellors
Cemetary	Are your facilities rented out?
• No. of acres used acres • No. of acres vacant acres	Yes No If yes, please give details
Do you administer employee benefit plans?	Do you provide any other professional services?
Yes No	Yes No If yes, please give details
Please give details of past property or liability claims
Disclaimer • All information provided on this site is for the sole use of The Insurance Centre Inc., any unauthorized access to or use of this information may be deemed as a criminal offence which may result in prosecution.