Errors and Omissions Insurance for California CA Arizona AZ

Errors & Omissions Insurance, or Professional Liability insurance, is coverage for liability resulting from errors or omissions in the performance of professional duties. Applicable as a general rule to professional business activities such as banking, accounting, law, insurance and real estate. E & O (errors & omissions) insurance covers those areas of business where general liability coverage does not. You are accountable for the real or "PERCEIVED" loss as a result of the advice you give your clients. Your professional, as well as personal, assets are at stake every time you give a client professional advice. Without proper coverage, and error and omission claim could cost you a lifetime of work.

As an independent broker, we access dozens of markets for your company, with some of the best rates available on errors and omissions insurance in California. We will search the market place, so you don't have to.

If you have ANY question regarding your answers, please do not hesitate to contact our E & O specialist at (800) 585-8887.

This form is for basic information only. Depending on your class of business, you will be required to complete supplemental applications. Please remember, you must fully complete the form in order to receive a response.

FIELDS WITH ** MUST BE FILLED IN COMPLETELY.

** Business Name

** Contact Person

** Street Address

** City

** State CA

** Zip Code

** Phone

Fax Number

E-mail Address

Best time to call:

Business Type

** Years in Business

** How many Employees?

Current Insurance Provider

Current Annual Premium

Policy Period (mm / dd / yy) to

Amount of Current Coverage

Claims in the past 3 years?

If YES, Please explain all claims:

In as much detail as you wish, please describe your business and all operations:

IMPORTANT NOTE: This form is provided as a convenience to you. We will make a good faith effort to obtain competitive quotes for your review. Depending on the type of business, we may require more information and will contact you if necessary. Your submission of this form DOES NOT guarantee that any binding offers will be forthcoming from insurers we represent. Also, in no way does submission of this form obligate anyone to any contract.

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P.O. Box 6823 ~ Santa Barbara, CA 93160-6823

Office Toll Free: (800) 585-8887 Fax: (866) 585-8887

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