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Rick Powell Insurance Agency - California Workers Compensation Insurance

California Workers Comp Insurance Agency

Client Testimonial

“I have been extremely satisfied with Rick Powell Insurance. As a small business owner, insurance is one of those things that I do not want to spend a lot of time and attention on. It is an area of my business that I want someone else to manage for me. Rick Powell took the entire insurance burden off of me so I could focus on my business. He and his staff were very responsive to our business needs, and very pleasant to work with. They provided us a full-service approach and ensured that we had all of the insurance we needed as a business. I would recommend Rick Powell Insurance to anyone with insurance needs.”

- Allan Sabol
www.dayak.com

Serving the Carlsbad, San Diego and greater California state with Home, Auto, Workers Comp, Business and Commerical Auto Insurance. Please fill out the forms below to obtain your quote.

Insurance Quotes

WORKERS COMP INSURANCE QUOTE

Rick Powell Insurance - Workers Compensation Insurance

Rick Powell Insurance Agency LLC has excellent rates for Workers Compensation Insurance through some of the best California Insurance carriers. We would like to provide you with a free, no-obligation Workers Compensation insurance quote for your business. 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.

Workers Compensation Basic Information

General Information
Name of Business:
Contact Name:
Address:
City:	State: Zip:
Business Status:	Other:
Business Tax ID Number:
Business Phone:	Fax:
Best Time To Call:	AM PM
Contact Email Address:

Current Insurance Information

Company Name (not agency):

Policy Expiration Date:

Premium Amount: $

NCCI Number:

NCCI Experience Modification Number:

What type of coverages do you currently have:

Bond
Commercial Auto
Commercial Liability
Commercial Property

Commercial Umbrella
Directors & Officers Liability
Disability
Group Health

Group Life
Professional Liability
Other

About Your Business
# of full-time employees	# of part-time employees	How long in business	How many locations	Estimated Annual Payroll
		years		$
Please give a brief description of your business(below):

Employee Information.
Employee#	Classification code	Estimate Yearly Payroll
1
2
3
4
5
Please list additional employees in the "Additional Comments" section below

Business Information

Please select all that apply to Business:

Operate or Lease aircrafts/watercrafts
Store, treat, dispose or transport hazardous waste
Work Underground
Work above 15ft.
Work on vessels, docks or bridges over water
Require out of State travel

Use Subcontractors
Delivery Service
Pre-employment Physicals
Offer Safety and Incentive programs
Other

Additional Comments

Please give any additional comments you feel appropriate for this quotation. If you have
additional information where there was not enough space, please enter them here.

Please click on the "Submit Quote" button to send your quote request.
One of our representatives will respond to your submission as soon as possible.