4929 Wilshire Blvd.
Los Angeles, CA 90010
Calif. Insurance License #0D73834
Garage or Carport?:
# of cars, attached/detached?
features (i.e., deck, air
conditioning, alarm systems, jacuzzi, screened porch, etc.)
Dwelling Cov. $
Liability Cov. $
Deductible $ ($500, $1,000, $2500):
Comments/Remarks (describe any scheduled jewelry, in-home
business, or other special coverages needed here):
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