Get a Quote — Plumbers Pro

Business

The basics from your CSLB record and the best way to reach you.

Legal business name *

DBA (if any)

CSLB license number * 6–8 digits, C-36 classification

Federal EIN (optional)Used to pull your official X-Mod history after you authorize it

Entity type

Years in business *

Business street address

City

ZIP *

Contact name *

Email *

Phone *

Operations

What your crews actually do. This drives which markets will look at you.

Type of work *

Residential service & repairHomes, condos, property managers Commercial service & repairOffices, retail, restaurants New constructionTract, custom or commercial build-out Sewer & drainJetting, camera, trenchless, excavation Gas linesInstall, repair, pressure testing Water heaters & repipesTank, tankless, whole-house repipe

Annual revenue * Gross receipts, last 12 months

Number of employees *

Annual subcontractor costs

Owned vehicles

Specialties or anything unusual about your work

Coverage

What you want quoted and what you have now.

Lines to quote *

Workers' CompensationRequired with employees in California General LiabilityBodily injury and property damage Commercial AutoVans, trucks, trailers Tools & EquipmentInland marine Commercial UmbrellaExcess limits over GL and auto Other contractor coveragesInstallation floater, pollution, cyber, EPLI

Current carrier

Renewal date *Estimate if you're not sure

Current GL limit

Expiring annual premium (all lines)

Contract requirements you have to meet

Workers' compensation

Payroll by class code, your X-Mod if you know it, and claims history.

Annual payroll by class code

5183 — Plumbing *

8810 — Clerical

8742 — Outside sales

Officers included in payroll?

Do you know your current X-Mod?

Claims in the last 3 years *

Documents come later, through a secure channel. This form does not accept file uploads. After you submit, a licensed producer will send you a secure request for loss runs, your rating worksheet and current dec pages if they're needed for your quote.

Review and submit

Check your answers. You can go back to any step to change them.

The information above is accurate to the best of my knowledge.Material misstatements can void coverage. Pembroke Insurance Solutions may contact me about this submission.By phone, email or text at the contact information I provided. Pembroke may share this information with insurance carriers to seek quotes.Submitting an application is not a request to bind coverage and does not create coverage.

Application received

Reference . We've recorded your submission and a licensed Pembroke producer will follow up at the email and phone you provided.

What happens next

Within 1 business day: A licensed Pembroke producer reviews the submission for completeness and eligibility.
Documents: If loss runs or a rating worksheet are needed, you'll get a secure request. Nothing is uploaded through this site.
1–3 business days: Your file goes to markets whose appetite fits C-36 plumbing operations.
Your decision: You review terms and pricing and decide whether to bind. Nothing binds automatically.

Check my X-Mod while I wait