Contractors Insurance Pros are prepared to offer the best California Workers Comp Insurance quote to fit your business needs. We specialize in assessing the needs of our clients to provide insurance, risk management and specific policies to protect our client’s assets. Let us design a comprehensive California Workers Comp Insurance package and other insurance options that protect all the complex layers of your business. Please fill out this form completely so that we may get a quote to you as quickly as possible.

Please fill out this form completely so that we may get a quote to you as quickly as possible.

 

About You:

Company Name:
*First Name:
*Last Name:
*Email Address:
Street Address:
City:
State:

Zip:
Phone Number:
Fax Number:

About Your Business:

 
Do you currently have Insurance?
If "yes", list carrier and # of years continuous:
Any Claims:
If "yes", Describe Claims & Amounts in Detail:
Years in Business?
Type of Business (proprietorship, corporation, etc.)?
FEIN#
Tax ID#
Your Contractors License Number:

Underwriting Information:

 
Describe Business Operations in Detail:
Payroll Class #1  
Class code number and describe payroll class:
Annual Payroll in dollars for this class:
Payroll Class #2 (if none, leave blank)  
Class code number and describe payroll class:
Annual Payroll in dollars for this class:
Payroll Class #3 (if none, leave blank)  
Class code number and describe payroll class:
Annual Payroll in dollars for this class:
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