Gamboa & Morton
Insurance Agency
Commercial Insurance
Quote Request Form
CALL US or File out this form:
California Insurance License # 0656933 ***
Tel: (415) 282-5888   ---   Fax: (415) 282-3256
National Toll Free # 1-877-77-222-66
for California Residents & International Tourists
Let us help you with our expert knowledge & experience!

  Please contact me to see if I am eligible for company hidden discounts!
This process does not bind coverage!   Return to Home Page 

How did you find us?  URL or Search Engine Name:
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Other: Specify

Have we quoted you before?  No Yes If yes, when?
  Product(s):                                                 mm/dd/yyyy                       
  Are you currently or previously insured with us? No Yes   
Select All Bond and Insurance Product(s) previously purchased through us:

Business Name:  

 Mr. Mrs. Miss Ms.

 First Name: Middle Name: Last Name:

III, Jr.


NATION: USA Canada Mexico

  Telephone Numbers:
Home: Work: Fax:
  Address Line 1:

Street #: 

Street Name:

Suite or PO #:
  Address Line 2:



Zip Code:

Zip Code +4:
Do you need Certificates of Insurance?Yes No  ~~ How many?
Do you need to name Additional Insureds*?Yes No
How many?
*(Try to avoid contracts that require naming someone else as an additional insured. However, Whenever you can, always be named as an additional insured on any work you sub-contract.

Do you currently have commercial insurance? YesNo
Who is your current commercial insurance company?
Expiration Date:
Who is your current bond / fidelity company? 
Expiration Date:

Who is your current auto insurance company? 
Expiration Date:
Who is you current medical insurance company? 
Group orIndividual  ~~  Expiration Date:

 SIC Code (if known)

 Enter Business type here:
 Or pick one from the list BELOW:

Select by first letter of the business type or category:

A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S T U V W X Y Z
Sample List of Businesses

Air Conditioning Service & Installation

Alarm System Installation

Antique Store

Antique Dealers

Apartment Houses

Apparel Store

Appliance Sales, Service & Installation

Arcades Video & Pinball

Artisan or Contractor
Auto Accessories Auto Body & Paint Shop Auto Detailers - Mobile & Hand Car Wash
Auto Liability & Physical Damage Auto Part Store Auto Repair Shop
Bakery / Pastry Shop Barber / Beauty Shop

Beauty Shop
Billiard Parlors Book Stores  
Candy Stores Card Shops

Carpet Sales, Cleaning, Installation
Car Washes Carpenters

Ceramics & China Sales
Check Cashing Services Cleaning or Custodial Services

Clothing Stores
Coin Operated Laundries Coin & Stamp Dealers

Commercial Buildings

Concrete Pumpers
Construction  Contractor - Janitorial

Contractor - other

Custodial Services

Department Stores

Door & Window Installation

Dry Cleaners & Laundries


Electronic Stores: TV's, Radios, etc.
Fabric Stores Fence Repair & Installation
Florists Food & Beverage Stores
Furniture Stores Full Service Car Wash
Gardeners Gas Service Station Glass Merchants & Glaziers 
Golf Shops Grocery Stores  

Hardware Stores

Hotel / Motel

Ice Cream Parlors

Insurance Agencies
Janitorial Services

Jewelry Stores & Watch Repair

Junior / Mini Markets
Laundries & Dry Cleaners Liquor Stores

Mail / Office Centers


Mini-Shopping Centers

Motel / Hotel

Music Stores (CD's, Tapes, etc..)

Musical Instruments

Night Club

Nurseries (botanical)


Office / Mail Centers

Paint & Wallpaper Sales


Pastry Shop

Pawn Shops

Pet Supply Stores

Photo Studio

Photo Developers

Photo Suppliers



Rental - Video

Repair Shop


Retail Stores

Rug Sales

Self Service Car Washes

Service Station

Shoe Stores

Shoe Repair

Shopping Centers

Sign Installation

Sign Manufacturing

Social Services

Stationery Stores

 Swimming Pool Maintenance Services  

Tailor & Alteration Shops

Telecommunications or Video Cable Plant Installation ServicesTrophy Sales

Trophy Sales

Upholstery Shops - Auto

Upholstery Shops - Furniture
Video & Pinball Arcades Video Cable Plant Installation Services or Telecommunications Video Rental & Sales Stores
Watch Repair
Yogurt Shops