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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


Work Compensation

Commercial Auto

Medical Insurance
   - Individual/Group
   - Dental
   - Life

Ancona Insurance understands the needs of Business owners.

  Free Certificate of Insurance
  Low Insurance Prices
  Low Down Payment
  Financing option available
  Great Service
  Free Certificate of Insurance
  Save Time! & Safe Money!
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


Company Name

Contact Name

Street address



Zip Code

Contact Phone



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  


Total Gross Receipts $:

Payroll of owners $:

Employee Payroll $:

Insurance History - Provide three year history if applicable

Year Claims Amount Paid Annual Premium
When would you like your policy to take effect?
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
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
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
Flower Shop
Furniture Stores
Glass Shops
Golf Shop
Tennis Pro Shops
Greeting Card Shops
Hardware Stores
Supply Stores
Ice Cream Store
Jewelry Stores
Watch Repair Store
Lamps & Lighting Shops
Leather Goods Stores
Luggage Stores
Key Copying
Pawn Shop
Mail Box Store
Music Stores
Music Studios
Music Instrument Sales
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
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
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
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

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
Industrial Equipment Store
Lumber Store
Plywood Store
Millwork Store

Dispensary Insurance
Marijuana Dispensary Insurance