• Rick Powell
• Home Owners
• Auto
• Business
• Comm. Auto
• Workers Comp
• Specialty

California Auto Insurance Agency

Client Testimonial

“I have found your agency's customer service amazing. The personal attention and knowledge of our policies allows you to answer questions quickly. I appreciate how you found a classic car policy that cut our rates by over 50% all without a prompt from us.”

- Ashley

AUTO INSURANCE QUOTE

Rick Powell Insurance Agency LLC offers competitive quotes with exceptional carriers for your personal California Automobile Insurance. Let us find the rate that's right for you. Additionally, there are package discounts if you combine your Auto and Homeowners Insurance under one carrier!

We would like to provide you with a free, no-obligation CA Auto Insurance quote. Fill out the form below so we can find the best package for your Auto Insurance needs. Please provide as much information as possible for the most accurate quote. This information will be kept confidential and will be used for quote and/or policy purposes only.

If you have questions about our agency, feel free to call us directly at (818) 861-7440 or email us at
Rick@Insurance4CA.com We look forward to serving you.

Auto Insurance Basic Information

General Information
Name*:
Address*:
City*:	State*:
Zip*:
Phone:
Fax:
E-mail:

Current Auto Insurance Information
Company Name:
Policy Expiration Date:
Premium Amount:	$
Term:	6 Months 1 Year Other:

Vehicle Information
Total number of cars your family owns or leases: Please enter information for the first and second vehicles below.
Car #1	Year	Make	Model	Body Type	Vehicle ID# (VIN)
Name of Title Holder		Annual Milage	Drive to school/work? # of miles		Airbags	Car Alarm
			Y N one way		Y N	Y N
If vehicle is kept at an address other than that listed above, please indicate below
Location City: State: Zip:
Car #2	Year	Make	Model	Body Type	Vehicle ID# (VIN)
Name of Title Holder		Annual Milage	Drive to school/work? # of miles		Airbags	Car Alarm
			Y N one way		Y N	Y N
If vehicle is kept at an address other than that listed above, please indicate below
Location City: State: Zip:

Liability Limit - For ALL Cars
Choose either Bodily Injury and Property Damage	or Single Limit
Bodily Injury $25,000/50,000$50,000/100,000$100,000/300,000$250,000/500,000 Property Damage $25,000$50,000$100,000$500,000	Single Limit $60,000$100,000$300,000$500,000

Deductibles and Misc.
Car#	Comprehensive Deductible	Collision Deductible	Towing	Loss of Use
1	$100$250$500	$250$500$1000	Yes	Yes
2	$100$250$500	$250$500$1000	Yes	Yes

Driver Information
(include all licensed drivers in your household)
Driver #1	Driver's Name		Drivers License Information
			DL#: State: Years Licensed:
Relation	Date of Birth	Sex	Marital Status	Courses Completed Last 3 yrs
		M F	Married Single	Drivers Ed: Y N Accident Prevention: Y N
Driver #2	Driver's Name		Drivers License Information
			DL#: State: Years Licensed:
Relation	Date of Birth	Sex	Marital Status	Courses Completed Last 3 yrs
		M F	Married Single	Drivers Ed: Y N Accident Prevention: Y N

Additional Comments
Please give any additional comments you feel appropriate for this quotation. If you have additional information where there was not enough fields above, such as additional drivers, vehicles, driver histories, etc..., please enter them here.

SPAM Protection
Please enter the following CAPTCHA phrase

Once you click on the "Submit Quote" button you will be automatically re-directed to our home page and one of our representatives will respond to your submission as soon as possible.

---