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Tuesday   10am - 5pm
Wednesday   10am - 5pm
Thursday   10am - 5pm
Friday   10am - 5pm
Saturday   By appointment
Sunday   Close
     
     
General Liability

Property Liability

Business Owners Policy

Umbrella/Excess Liability

Professional Liability

Bond

Work Compensation

Commercial Auto

Medical Insurance
   - Individual/Group
   - Dental
   - Life
Ancona Insurance understands the needs of Business owners.

 
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  Financing option available
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  Free Certificate of Insurance
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Industry Links

Contractor's State
Kelley Blue Book
SIC Codes
The State Fund

Workers' Compensation Insurance

Get Free Workers' Comp Insurance price quotes

Worker's Comp coverage is REQUIRED by California State Law.


Workers Compensation Insurance protect employers from lawsuits resulting from workplace accidents covers medical expenses and lost income of your employees if they are injured in the course of performing work-related activities. Workers compensation insurance covers workers injured on the job, whether they're hurt on the workplace premises or elsewhere, or in auto accidents while on business. It also covers work-related illnesses.

Ancona Insurance understands the special needs for work compensation insurance of businesses and tailors our services to meet your workers compensation insurance needs.

• Get rate quotes on insurance plans for small, medium and large employee groups
• It's FREE and easy to use

Why do I need it?

California law REQUIRES every employer to carry Worker's Comp insurance on their employees, even if they are part-time. Employers who do not comply with these regulations can face heavy fines and penalties, which can be detrimental to your business.

Contact Information

Name

Company Name

Contact Name

Street address

City

State

Zip Code

Contact Phone

Ext.

FAX

E-mail Address

Number of years in this  business:

Tax Status:

Individual Partnership S-Corporation
Corporation L.L.C.
Please give an overview of your business operations.
Be as specific as possible.

Total number of employees:

Number of F/T Employees Number of P/T Employees  
 
Number of principals / owners: Exclude owners? Yes No  

Payroll

Total Gross Receipts $:

Payroll of owners $:

Employee Payroll $:

Insurance History - Provide three year history if applicable

Company
Year Claims Amount Paid Annual Premium
           
When would you like your policy to take effect?
ASAP
Within one month
In one to two months
More than two months
When my current policy expires
If you currently have Workers' Compensation, please indicate the following:
Current provider:
Current Policy Expiration Date: mm/dd/yy
Please answer all. If the answer to any of the following is yes, please give details in the comments box at the bottom of this section.
Yes No Any work performed underground or above 15 feet?
Yes No Is applicant engaged in any other type of business?
Yes No Are sub-contractors used?
Yes No Any prior coverage declined/cancelled/non-renewed (last 3 years) ?
Please give details on all Yes answers above and provide any additional information
that would help to provide your company accurate quote.

 

Artisan Contractors Insurance
• Air Conditioning Installation
• Air Conditioning Service
• Alarm System Installation
• Appliance Installation
• Appliance Service
• Carpentry Contractor
• Carpet Cleaning
• Carpet Installation
• Ceiling Installation
• Chimney Sweeps
• Concrete Flatwork Installation
• Walkways Installation
• Patios Installation
• Driveways Installation
• Door Installation
• Window Installation
• Drywall Installation Contractor
• Fence Repair and Installation Contactor
• Fiberglass Bath Installation Contactor
• Handyman
• Heating Contractor
• HVAC Contractor

Construction Insurance:
• General Contractor
• Industrial Building contractor
• Plumbing Contractor
• Heating and Air Conditioning Contractor
• Painting Contractor
• Electrical Contractor
• Masonry and Stone Contractor
• Floor Laying Contactor
• Carpentry Contractor
• Concrete Contractor

Janitorial Commercial Residential Isurancel
• Landscaping Contractor
• Construction
• Painting Contractor
• Roofing Contractor
• Plumbing Contractor
• Sign Manufacturing & Installation
• Swimming Pool Contractor
• Tree Trimming Contractor

Auto Related ServicesInsurances
• Auto Service Centers
• Gas Stations
• Car Washes
• Muffler Shop
• Mechanical Repair
• Tire Stores

Auto Body Shops
• Body Repair
• Frame Repair
• Paint Shops
• Muffler Repair

Auto Repair Shops
• Car Wash
• Convenience Store
• Full Service Car Washes
• Hand Car Wash
• Muffler Shops
• Oil & Lube Shops
• Transmission Shops
• Tune-up Shops

Use Car Dealer
• Car Dealer
• Gas Station
• Rental Car

Miscellaneous Auto Shops
• Alarm Sales Shop
• Hand Car Wash
• Glass Sales & Installation Shop
• Stereo Sales Shop
• Upholstery Shop
• Window Tinting Shop
• Auto Accessory Store

Real Estate and FinanceInsuance
• Real Estate Broker
• Real Estate Agents
• Mobil Store

Manufacturing Insurance:
• Clothing Store
• Perfumes and Cosmetics Manufacturing
• Cut stone and stone products Manufacturing
• Electroplating Manufacturing
• Sawmills Manufacturing
• Planing Mills Manufacturing
• Millwork Manufacturing
• Fabricated Structural Metal Manufacturing
• Signs Store
• Advertising Company

Retail Stores Insurance

• Antique Stores
• Appliance Stores (Household)
• Barber Shops
• Beauty Shops
• Billiard Parlors
• Book Stores

• Candle Shops
• Candy Shops
• Carpet Covering Sales
• Floor Covering Sales
• Ceramics & China Shops
• Check Cashing Services
• Clothing Stores
• Drapery Shops
• Electronic Stores
• Computer Store
• Fabric Stores
• Florists
• Flower Shop
• Furniture Stores
• Glass Shops
• Golf Shop
• Tennis Pro Shops
• Greeting Card Shops
• Hardware Stores
• Cleaners
• Supply Stores
• Ice Cream Store
• Jewelry Stores
• Watch Repair Store
• Lamps & Lighting Shops
• Leather Goods Stores
• Luggage Stores
• Locksmiths
• Key Copying
• Pawn Shop
• Mail Box Store
• Music Stores
• Music Studios
• Music Instrument Sales
• Nurseries
• Office Furniture Stores
• Furniture Store
• Internet Retailers
• Paint Store
• Wallpaper Store
• Pet Supply Stores
• Photo Studios
• Rug Stores
• Alteration Store
• Shoe Stores
• Sporting Goods Stores
• Stationery Stores
• Tailor Shops
• Tobacco Store
• Convenience Store
• Cigarettes Store
• Computer Store
• Upholstery Shops
• Vacuum Cleaner
• Video and Pinball Arcades
• Video Rental Shops
• Junk Yard
• Yogurt Shops
Retail Trade Insurance:
• Grocery stores
• Bakeries
• Hardware stores
• Variety stores
• Furniture stores
• Floor covering stores
• Drug stores
• Motor vehicle stores

Restaurants & Food Services Insurance
Neighborhood Taverns
• Cooking Tavern
• Jukebox Music Bar
• Karaoke
Sports Bars
• Sports Bars with Pool Tables
• Sports Bars with Video Games
• Sports Bars with Alcohol
• Sports Bars with Beer
Night Clubs
• Night Club with Alcohol
• Night Club Live Entertainment
• Night Club with Exotic Dancing
• Strip Club
• Night Club with DJs
• Piano Bars
(Other entertainment)
• Bagel Shops
• Bakeries (retail)
• Coffee Shops
• Delicatessens
• Donut Shops
• Fast Food Restaurants
• Fine Dining
• Food Court Restaurants
• Franchise Restaurants
• Pizza Parlors
• Sandwich Shops
• Specialty Restaurants
• Steak Houses
• Banquet Facilities
• Cocktail Lounges
• Chinese Restaurant
• Mediterranean Restaurant
• Entertainment
• Take-out
Junior Markets Insurance
• Check Cashing
• Cooking Exposure
• Deli Operations
• Health Food Sales
• Pizza Restaurant
• Liquor Sales
• Meat store
• Seafood Store
• Produce Saless
• Specialty Items
• Video Rentals Stores

FACTORIES & WAREHOUSES
Commercial Buildings

• Surgery Office
• Medical Office
• Dental Office

Dry Cleaners & Coin Laundries
• Dry Cleaners
• Coin Laundries
• Laundry Shop

Apartment Buildings

Services, including:
• Beauty shops

  Hair Dresser Solon
• Eating places
• Hotels and motels
• Business Services
• Building Cleaning
• Building Maintenance
• Golf Courses
• Management Services
• Computer Programming Services
• Computer Programming Service
• Computer Repair Services
• Pest Control

Wholesale Trade Insurance:
• Brick Stone
• Construction
• Industrial Equipment Store
• Lumber Store
• Plywood Store
• Millwork Store

Dispensary Insurance
• Marijuana Dispensary Insurance