Request a Quote

For more information about SDRMA's Property/Liability and/or Workers' Compensation programs and services, please fill out the form, and a member of our team will get in touch with you.

Please confirm that your organization is a public agency established under the California Government Code. (required)

What is the legal name of your agency? (required)

Please provide the name and phone number of the primary contact at your agency. (required)

Please provide the email address of the primary contact. (required)

What are the services your agency provides? (required)

Does your current provider require advanced notice to withdraw and if so, has advanced notice been given? (required)

What date is your agency estimating to start coverage? (required)

What is your agency’s website address? (required)

Program Coverage Interest Type: (required)

Property/Liability

Workers' Compensation

If you’re interested in Property/Liability coverage, which limits are you requesting?

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