Motorcycle Insurance Quotes - Cobalt Insurance Agency

Contact Us: (916) 501-1897

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- California FAIR Plan
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Get a Quote
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Motorcycle Insurance Quote Request

* Indicates required field

Please tell us your name *

First

Last

What is the best phone number for you? *

What is the best email address for you? *

Who can we thank for referring you to us, or how did you find us? *

Where is your motorcycle regularly garaged? *

Line 1

Line 2

City

State

Zip Code

Country

Is your motorcycle kept in a fully enclosed and locked structure? *

Yes No

Is your mailing address the same as your garaging address? *

Yes No

What is your gender? *

Male Female

What is your date of birth? *

What is your marital status? *

Single Married

Do you have a valid and current California driver license? *

Yes No

If so, what is your license number? (if you don't have one, please enter "NA") *

Is a financial responsibility filing (SR-22) required? *

Yes No

At what age were you first licensed? *

Do you have a motorcycle endorsement on your Driver License (M1)? *

Yes No

Have you taken a motorcycle safety course? *

Yes No

How many years experience do you have riding a motorcycle? *

Have you had any violations or accidents (regardless of fault or type of vehicle driven) in the last 3 years OR any violations involving drugs, alcohol, or manslaughter in the past 10 years? *

Yes No

What Year, Make, and Model is your motorcycle? *

What is your motorcycle's Vehicle Identification Number (VIN)? *

Is your motorcycle custom built, converted to a trike, or have a turbo or supercharger? *

Yes No

How many CCs does your motorcycle have? *

Do you use your motorcycle for pleasure or commute? *

Pleasure Commute

What is the value of your motorcycle? *

What is the estimated mileage you ride your motorcycle in a year? *

Does the motorcycle have an anti-theft device? *

Yes No

Does the motorcycle have anti-lock brakes? *

Yes No

Does the value of optional equipment exceed either: $15,000 for motorcycles less than 20 years old OR $500 for motorcycles that are 20+ years old? *

Yes No

Is there anything else we should know to provide a more tailored quote? (claims filed, additional motorcycles, additional operators, specific coverages you want, etc.) *

Submit

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Cobalt Insurance Agency
CA DOI License Number: 6007022
6520 Lonetree Blvd. #2019
Rocklin, CA 95765
(916) 501-1897
Click Here to Email Us

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