http://livepage.apple.com/

Commercial lines:

Rich@BAI-INS.com

Fax:  714-536-4054


Personal lines:

Lisa@BAI-INS.com

Fax:  714-536-0395


Our forms require Adobe Reader to be accessed.   If needed, you can download it here for FREE.

  Quick     Questionnaires

Print & Fax or Email

Want to talk to an AGENT?


CALL US:

714-536-6086

Select an application to initiate a Quote from our staff. 

Directions:     Type your information in the questionnaire you’ve selected and save to your desktop to e-mail or print the completed form and fax it to our office.

Commercial Lines     &     Personal Lines
AutoQuestionnaires_files/Auto%20Quote%20-%20Questionnaire_distributed.pdf
Homeowners
Dwelling FireQuestionnaires_files/Homeowners%20REV%20Quote%20-%20Questionnaire%20with%20fields_distributed.pdf
UmbrellaQuestionnaires_files/Umbrella%20Quote%20-%20Questionnaire_distributed.pdf
Renter’sQuestionnaires_files/Renters%20Quote%20-%20Questionnaire%20with%20fields_distributed.pdf
MotorcycleQuestionnaires_files/Personal%20Motorcycle%20Quote%20-%20Questionnaire_distributed.pdf
Building 
(Owner)Questionnaires_files/Questionnaire%20Building%20%28Owner%29_distributed.pdf
Building 
(Tenant)Questionnaires_files/Questionnaire%20Building%20%28Tenant%29_distributed.pdf
Business 
Info. Questionnaires_files/Questionnaire%20Business%20Info%20with%20Property%20-%20Tenant_distributed.pdf
Contractor’s
SupplementalQuestionnaires_files/Questionnaire%20Contractors%204pg%20with%20fields_distributed.pdf
Special 
EventQuestionnaires_files/Application%20SPECIAL%20EVENT_distributed.pdf
Workers’ Comp.Questionnaires_files/Questionnaire%20WORKERS%20COMP%20form_distributed.pdf

305 17th Street, Huntington Beach, CA 92648          CA license #0691071      Phone 714-536-6086   Fax 714-536-4054

BoatQuestionnaires_files/%20Personal%20Boat%20Quote%20-%20Questionnaire_distributed.pdf