Auto Insurance We offer very competitive rates on auto insurance with many different carriers. We will find the right policy for you. We recommend taking higher liability limits and higher deductibles to give you the best coverage at the lowest possible premium. Some of the many discounts we have available: Good Student, Drivers Training, Airbags, Alarm System, Anti-Lock Brakes, Account Discount, Over Age 50 Discount, and Senior Citizen Discount. For an individualized quote, please complete the following: Name:     Phone Number:     Best Time to Call:     Email (optional):     Fax (optional):     All drivers in the house dates of birth: 1: 2: 3: 4: 5: Number of moving violations and/or accidents in the last 3 years     Any Suspensions or DUI's in the last 5 years     Are you currently insured at this time:     Select One Yes No Year, make and model of each car to be insured: 1: 2: 3: 4: 5: Liability:     Select One 100/300/100 300,000 CSL Comprehensive Deductible:     Select One 100 250 500 Collision Deductible:     Select One 250 500 1000 Uninsured Motorist:     Select One 100/300 300,000 CSL Medical Payments:     Select One Basic Extended Towing:     Select One Yes No Rental Reimbursement:     Select One Yes No      Contact me: Molly Vieyra Alliance General Insurance Agency, LLC 2696 S. Colorado Blvd. #330 Denver, CO 80222 (303) 377-1172 (720) 941-6715 Fax insurance@alliancegeneral.net
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