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PDF  6BEDS LIABILITY INS. APP. 09-22-15_distributed

When you have completed the application Press Submit button in the upper right hand corner.  Or you may print out the application, fill it in sign, date and fax to (818) 709-4154.

Please be sure to Email or Fax These Additional Documents required for quoting.

  1. Copy Of Your Facility License
  2. Copy Of Your Last Sate of CA Facility Evaluation Report.
  3. If You currently have Liability Insurance we will need you to request all “Available Years Of Current Valued Loss Runs” from your current broker/agent.
  4. If you do not currently have liability insurance disregard Item # 3. above.

Please feel free to call our office (818) 341-2107 with any questions you may have.