All information in this web site relates to California law, coverages available in California, and practices relative to situations in California.
If your organization has at least one site in California, we usually can arrange coverage for all of your sites using the broadest coverages available in California and in compliance with the laws of the respective States where your other sites operate. Please call us at 805.373.9434 or email or complete the form at the bottom of this page.
If your organization is in the United States but outside California, please complete the following form. We'll forward it to an associate located in your State.
If your organization is situated outside of the United States, we hope that it's somewhere we might visit if we ever take a vacation, but we have no insurance facility at this time to help you. We would appreciate your critique of our site. Please email us.
AG00490_.GIF (11913 bytes)Survey ApplicationAG00490_.GIF (11913 bytes)

If you have more than one site, call us or complete an application for each site....whatever works best for you.

Business Name
Mailing
Address
City/ST/ZIP
Site Address
Your Name
Telephone Number
Fax Number
e-mail Address
Ownership
Year Business Began
owlonline.gif (1735 bytes)

Check the boxes that best describe your operations

Day Care
Center

Service
Agency

Infant
Center

Residential
Care

Head
Start

Camps

Enrichment
Center

Computer
Lab

Grade
School

Counseling
Center

Club

Teen
Center

Which Coverages are important to you? Workers
Comp
Property Liability
Vehicle
Student
Accident
Health
Bonds
C
O
M
M
E
N
T
S
When Does Your Current Coverage Expire?

Should we contact you?