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Diligent search affidavit

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Althea ALTHEA Harbor Insurance Agency · Richard ▾
HO3
Identity
3
Diligent search
4
Bound

Quote #ALT-2026-04217 · proceeding to bind

16573 Pine Valley Ct, Loxley AL 36551 · Alex & Mariana Hartley

$1,520/yr · Standard tier · effective June 5, 2026  Details ▾

Bind · Step 3 of 3

Diligent search affidavit

Alabama surplus lines law requires you to attest that you approached admitted-market carriers and they declined to write the risk. Pick three carriers and a declination reason for each — we'll generate the affidavit for your inline signature.

Carriers approached & declination reasons

Allstate Insurance Co.prefilled
No market
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State Farm Mutual Auto. Ins. Co.prefilled
Did not respond
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USAAprefilled
Capacity exceeded
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+ Add another carrier

I made a diligent effort to procure this coverage from admitted carriers in Alabama, and the carriers listed above declined to write the risk for the reasons indicated. Per AL §27-10-22.

Sign the diligent search affidavit

Richard Bell
Signed 2026-06-05 14:32 CDT · License #SL-AL-29481 · IP 73.27.118.44

Clear & re-sign

This is the moment. When you click below, Althea wind coverage starts immediately for Alex & Mariana. We'll send their documents and e-sign link right after.

⚡ Bind policy →