This information is not an offer to sell insurance. Insurance coverage cannot be bound or changed via submission of this online form/application, e-mail, voice mail or facsimile. No Binder, insurance policy change, addition, and /or deletion to insurance coverage goes into effect unless a down payment is received and processed and until confirmed in writing with a licensed agent. Note any proposal of insurance we may present to you will be based upon the values developed and the exposures to loss disclosed to us on this online form/application and /or in communications with us. All coverages are subject to the terms, conditions and exclusions of the actual policy issued. Not all polices or coverages are available in every state. You also agree to release the Mannarino Insurance Agency and its affiliates and associates from any liability if this information is accidentally viewed by unauthorized persons. We will only use this information for insurance quoting purposes and we will not distribute to other parties.