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Look At the Sample Contractor Rates for Current Clients:

Contractor Situation:
Cost Per Year
Electrical Contractor, Bakersfield, CA
$972.00,
Only $295 down!
Plumbing Contractor, San Luis Obispo, CA
$1,774,
Only $495 down!
Flooring Contractor, Santa Maria, CA
$995,
Only $295 down!
Painting Contractor, Bakersfield, CA
$995,
Only $295 down!
General Contractor, Milpitas, CA
$1,530,
Only $495 down!
HVAC Contractor, Bell, CA
$995,
Only $295 down!
Low Voltage Contractor, Grass Valley, CA
$995,
Only $295 down!
Tile Contractor, Santa Rosa, CA
$995,
Only $295 down!

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Contact Information:

E-Mail:
quotes@california-
contractors-insurance.com

Mailing Address:
Jody Dyer
Orr & Associates
Insurance Services
28780 Single Oak Dr. #255
Temecula, CA 92590

Phone/Fax:
Phone: 800-719-2357
Fax: 800-358-0904

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On-Line Workers Comp
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Your Name:
Your Company's Name:
Street Address:
City:
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Phone:
Fax:
 

Currently Insured?
(If yes, list carrier, and # of years
continuous. If none, type NONE)
 
List Claims & Amounts Paid
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Years In Business:
 
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Underwriting Information:
 
Describe IN DETAIL,
Your Business Operations:
 
Payroll Class #1:
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class here: 		$
 
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class here: 		$
 
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