How far is your home from the nearest fire hydrant?

Please indicate the year in which the following items were last updated.

Do you have any of the following protective devices?

Please indicate the name of the monitoring alarm company

Do you have any scheduled items such as jewelry, furs, guns or collectibles?

If yes, please enter a brief description.

Have you had any claims in the past 3 years?

If yes, please enter a description of the claim including date of loss and amount paid.

Have you been cancelled by any insurance company in the past 3 years?

If yes, please explain.  Include
cancellation date.