"Deciding on a health care plan can be a confusing and uncertain process. The folks at RL & Associates give each of our employees all the time and attention they need to make exactly the right choice. Without HR staff, we are most grateful to RLA for this personal attention given to our employees."
Carl Hansen
Food Bank Coalition
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Business Insurance Quote Request

We’ve set up this form so that you can share the details of your business with our firm in one simple and easy to complete step. The more you share with us, the quicker we can take your information and converse with all of our carriers. We hope to see our efforts improve your bottom-line and offer you the quality protection that you deserve.

Contact Information

Best Time to Contact:

Insurance Information

Please specifiy:

Is your mailing address different than your above location?:   No

Please enter the mailing address:


City:     State:

Zip Code:

Brief Description of your operations:

What is the square footage of your address: sq. ft.

Does your business have any of the following:
# of Part-Time Employees:
# of Full-Time Employees:
# of Volunteers:
# of Subcontractors:

Annual Gross Receipts: $

What is your amount of Business property and equipment: $


Current Carrier:

Yes   No

Please explain:

Current policy expiration date: « click to choose a date

What amount of coverage are you desiring?:

Please select the following that apply to receive your discounts: (check all that apply)
Burglar alarm   Fire Alarm   Sprinklers   Security Guard on-duty after hours

Will you need additional insured paperwork? Yes   No

Please specifiy:

* Indicates required fields

To prevent SPAM, please type the numbers you see below:
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RL Insurance Associates serving San Luis Obispo, Monterey,
and Santa Barbara counties as well as throughout the state of California
for Business Insurance, Health Insurance and Life Insurance

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