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  • 8300 Tampa Ave. Ste J Northridge, CA
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Martinez Insurance Agency
  • Personal

    Personal Insurance

    We offer insurance for individuals and families, including customized coverage, to fit your lifestyle.
    View All
    Get Insurance QuoteGet Insurance Quote
    Homeowners
    Auto
    Umbrella
    Landlords
    High Net Worth
    Condo
    Jewelry
    Classic & Exotic Cars
    Boats / Watercraft
    Motorcycle
    RV/Trailer
    Powersports
    Earthquake
    Flood
    Specialty Dwelling
    Course of Construction
    Renters
    Pets
    Life Insurance
    Disability
    Health Insurance
    Medicare Insurance
    Dental Insurance
    Child Health
    Group Health
    Group Life
    Travel Health Insurance
    • Vehicles
    • Boat
    • Condo
    • Course of Construction
    • Equine
    • Flood
    • Earthquake
    • Life
    • High Net Worth
    • Homeowners
    • Landlords
    • Motorcycle
    • Pet
    • Powersports
    • Property
    • RV / Trailer
    • Renters
    • Specialty Dwelling
  • Business

    Business Insurance

    We provide small businesses with a variety of different coverage & policy options that fit their needs.
    View All
    Need a policy recommendation?
    Answer 3 questionsAnswer 3 questions
    Builders Risk
    Business Interruption
    Business Owners Policy
    Commercial Auto
    Commercial Package Policy
    Crime Insurance
    Cyber Liability
    Environmental Liability Insurance
    Hired & Non-Owned Auto Insurance
    Directors & Officers
    Employment Practices Liability
    Equipment Breakdown
    Inland Marine
    Contractor’s Tools and Equipment
    General Liability
    Liquor Liability
    Medical Malpractice
    Real Estate Investments
    Special Events
    Product Liability
    Professional Liability E&O
    Commercial Property
    Surety Bonds
    Commercial Umbrella
    Warehouse Liability
    Workers Compensation
    Garage Keepers Insurance
    Media Liability
    • General Liability
    • Business Owners Policy
    • Workers Compensation Insurance
    • Commercial Auto Insurance
    • Business Interruption Insurance
    • Commercial Property Insurance
    • Builder’s Risk Insurance
    • Equipment Breakdown Insurance
    • Cyber Liability Insurance
    • Professional Liability Insurance
    • Commercial Umbrella Insurance
    • Inland Marine Insurance
    • Contractor’s Tools and Equipment Insurance
    • Product Liability Insurance
    • Commercial Package Policy
    • Directors & Officers Insurance
    • Commercial Crime Insurance
    • Employment Practices Liability Insurance
    • Medical Malpractice Insurance
    • Environmental Liability Insurance
    • Hired & Non-Owned Auto Insurance
    • Liquor Liability Insurance
    • Garage Keepers Insurance
    • Surety Bonds Insurance
    • Warehouse Liability Insurance
    • Media Liability Insurance
    • Special Events Insurance
  • Industries

    Industries We Insure

    Our team serves all types of businesses across the country specializing in a variety of industries. Here’s some of the most popular types of businesses.
    View All
    Get Insurance QuoteGet Insurance Quote
    Auto Services
    Building Design
    Cannabis
    Cleaning Services
    Construction
    Consulting
    Events
    Finance And Accounting
    Food And Beverage
    Healthcare Facilities
    Healthcare Professionals
    Home Based Businesses
    Human And Social Services
    Installation
    Insurance Professionals
    IT / Technology
    Landscaping
    Manufacturing
    Media And Advertising
    Moving And Storage
    Non-Profits
    Personal Care
    Pet Care
    Performing Arts
    Photo And Video
    Printing And Copying
    Professional Services
    Real Estate
    Retail
    Training And Fitness
    Therapy And Counseling
    Wholesale And Distribution
    • Auto Services
    • Building Design
    • Cannabis
    • Construction
    • Consulting
    • Events
    • Finance and Accounting
    • Food and Beverage
    • Healthcare Facilities
    • Healthcare Professionals
    • Home-based Businesses
    • Human and Social Services
    • Professional Services
    • Installation
    • Insurance Professionals
    • IT / Technology
    • Landscaping
    • Manufacturing
    • Media and Advertising
    • Moving and Storage
    • Nonprofits
    • Personal Care
    • Pet Care
    • Professional Services
    • Photo and Video
    • Printing and Copying
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Adult Foster Care Insurance Quote

Adult Foster Care Insurance QuoteGravity Certs2024-08-17T17:16:14-07:00

Step 1 of 11

9%
Contact Name
Mailing Address
Same as Physical Address?
Physical Address
Organization Type?

Current Insurance Information

Do you currently have insurance?
MM slash DD slash YYYY
Have you had any claims in the last 5 years?
Does your current insurance program include?
MM slash DD slash YYYY
Is it?
MM slash DD slash YYYY

General Information

Are all facilities licensed through the state?
Has your license ever been suspended, revoked, or placed under conditional status OR claims of negligence?
MM slash DD slash YYYY
Any violations noted?
Are counseling services offered for any of the following?
Check all that apply.
Do you operate any other locations not included on this application?
Is insurance in place at these other locations?

Property Details

Facility Information

Resident unauthorized leave prevention?
Check all that apply.
Does a physician screen clients prior to admission?
Are residents responsible for their own basic personal care?
Example: Bathing, dressing, eating, restroom aide.
Do you allow physical restraint?
Resident Rooms
Inspection Freq.
By Who
How often?
Is there a written plan for supervising staff when interacting with clients on and off premises?
Are security cameras monitoring operations and residents?
Are resident's door ever locked from the outside?
Are residents allowed to cook their own meals?
How?
Is there a pool?
Who uses the pool?
Check all that apply.
Is the pool fenced with a self-locking gate?
Is there a diving board?
Is there trained staff on water safety?

Management Practices

Do you have sign in/out procedures for?
Check all that apply.
What is your client to staff ratio?
Day
Night

Abuse Prevention

Do you run criminal background checks, including sex/child abuse related crimes, before an employment offer?
This includes employees and volunteers.
Do you have a crisis plan for dealing with an incident of abuse?
Is there formal training on child/sexual abuse?
Are closed door one-on-one meetings prohibited?
Have any incidents resulted in an allegation of sexual abuse?
Was the case taken to trial?

Human Resources

Aprox. how many FT and PT employees two years ago?
Full Time
Part Time
Employee changes over the past twelve (12) months?
Left
Let Go
Laid Off
Demoted
Anticipated Employee changes over the past twelve (12) months?
Reductions
Layoffs
Demotions
Do you have written job descriptions for each employee?
Is drug testing conducted?
Do you train and require all staff to report incidents, in writing, and do you investigate each incident?

Workers Compensation

Which of the following contracted services are utilized?
Are there written agreements with those contractors?
Do you collect certificates of insurance from your contractors?

Financials

Annual Revenue:
Current Fiscal Year
Previous Fiscal Year
Annual Budget:
Current Fiscal Year
Previous Fiscal Year
Total Assets:
Current Fiscal Year
Previous Fiscal Year
Net Assets / Fund Balance:
Current Fiscal Year
Previous Fiscal Year
Do you offer a retirement plan?
Plan Details
Name
Established
Assets
Type
Participants
Administrator
Do you file a Form 5500 each year?
Request a copy of most recent filing.
Is your organization more than 25% owned by private equity?
Any mergers or operations under another name in the last five (5) years?

Vehicles and Transportation

Are all vehicles registered to the organization?
Do employees or volunteers use their personal vehicles for business?
How many use their own vehicles for business use?
Full Time - Driving over 20 hours per week Part Time - Driving up to 20 hours per week
Full Time
Part Time
Volunteers
Do you run MVRs on employees?
Do you require employees and volunteers to carry and show evidence of personal auto insurance?
Do you provide transportation services?
Do vehicles equipped for wheelchairs have tie-down belts?
Do you have a formal maintenance and safety training program in place?
Does Applicant utilize GPS fleet telematics devices?
Fleet Telematics Utilized

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Northridge, CA Office

8300 Tampa Ave. Ste J
Northridge, California 91324
Phone: 818-453-8356

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CA license #6003731

Hours

Hours of Operation:
M-Th: 8:30 – 5:30
F: 8:30 – 2:00

Email:
service@martinezagent.com

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This website does not make any representations that coverage does or does not exist for any particular claim or loss, or type of claim or loss, under any policy. Be sure to read the policy, including all endorsements, or prospectus, if applicable.

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If your application contains purposefully misleading, absent, or inaccurate information, you could be charged with fraud. Your insurance carrier could potentially void your policy, or you could face civil or criminal charges or penalties.

Any person who knowingly and with intent to defraud any insurance company or other person, files an application for insurance or statement of claim containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent act, which is a crime.

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