www.acrisure.com Open in urlscan Pro
2606:4700::6812:1c0a  Public Scan

Form analysis
2 forms found in the DOM

<form>
  <div class="form-group select-container" style="opacity: 1;">
    <label for="email">Are you an existing client?</label>
    <select class="form-control agency-search">
      <option value="">Select Your Agency</option>
      <option value="Acrisure Partners West Coast Insurance Services, LLC">Acrisure Partners West Coast Insurance Services, LLC</option>
      <option value="All Spectrum Insurance Brokers">All Spectrum Insurance Brokers</option>
      <option value="ANB Insurance Services">ANB Insurance Services</option>
      <option value="Asero Insurance Services">Asero Insurance Services</option>
      <option value="Beach &amp; O'Neill Insurance Associates">Beach &amp; O'Neill Insurance Associates</option>
      <option value="Bedrosian &amp; Associates">Bedrosian &amp; Associates</option>
      <option value="Benefits Done Right Insurance Agency, LLC">Benefits Done Right Insurance Agency, LLC</option>
      <option value="Bob Gabriel Co. Insurance Services">Bob Gabriel Co. Insurance Services</option>
      <option value="Bozzuto &amp; Associates Insurance Services">Bozzuto &amp; Associates Insurance Services</option>
      <option value="Commercial Coverage Insurance Agency">Commercial Coverage Insurance Agency</option>
      <option value="Contractor's Edge Insurance Services">Contractor's Edge Insurance Services</option>
      <option value="Cooper Insurance Agency">Cooper Insurance Agency</option>
      <option value="Craig C. Hansen Insurance Service">Craig C. Hansen Insurance Service</option>
      <option value="Dillon Risk Management and Insurance Services">Dillon Risk Management and Insurance Services</option>
      <option value="EJMS Services">EJMS Services</option>
      <option value="Filice Insurance Services - Campbell">Filice Insurance Services - Campbell</option>
      <option value="Filice Insurance Services - Folsom">Filice Insurance Services - Folsom</option>
      <option value="Filice Insurance Services - Lake Forest">Filice Insurance Services - Lake Forest</option>
      <option value="Filice Insurance Services - Larkspur">Filice Insurance Services - Larkspur</option>
      <option value="Filice Insurance Services - Moraga">Filice Insurance Services - Moraga</option>
      <option value="Filice Insurance Services - Pleasanton">Filice Insurance Services - Pleasanton</option>
      <option value="Filice Insurance Services - San Diego">Filice Insurance Services - San Diego</option>
      <option value="Filice Insurance Services - San Francisco">Filice Insurance Services - San Francisco</option>
      <option value="Frontier Bay Insurance Services">Frontier Bay Insurance Services</option>
      <option value="Galen Hayes Insurance Agency">Galen Hayes Insurance Agency</option>
      <option value="J.S. Tucker Insurance Services">J.S. Tucker Insurance Services</option>
      <option value="Kuhn Insurance Services">Kuhn Insurance Services</option>
      <option value="Los Gatos Insurance Services">Los Gatos Insurance Services</option>
      <option value="Martin J. Wolff &amp; Company, Inc. Insurance Agents">Martin J. Wolff &amp; Company, Inc. Insurance Agents</option>
      <option value="Monarch Insurance Services">Monarch Insurance Services</option>
      <option value="Oahu Associates">Oahu Associates</option>
      <option value="Pacific Diversified Insurance Services">Pacific Diversified Insurance Services</option>
      <option value="Pacific Diversified Insurance Services - Elk Grove">Pacific Diversified Insurance Services - Elk Grove</option>
      <option value="Pacific Diversified Insurance Services - Morgan Hill">Pacific Diversified Insurance Services - Morgan Hill</option>
      <option value="Parelius Insurance Services">Parelius Insurance Services</option>
      <option value="Pennbrook Insurance Services, Inc.">Pennbrook Insurance Services, Inc.</option>
      <option value="ProCo Insurance Services">ProCo Insurance Services</option>
      <option value="ProCo Insurance Services - Pleasanton">ProCo Insurance Services - Pleasanton</option>
      <option value="ProCo Insurance Services - Redwood City">ProCo Insurance Services - Redwood City</option>
      <option value="Progressive Benefit Group">Progressive Benefit Group</option>
      <option value="Provence Financial &amp; Insurance Services">Provence Financial &amp; Insurance Services</option>
      <option value="Risk Concepts Insurance Brokers">Risk Concepts Insurance Brokers</option>
      <option value="Rogers Insurance Services">Rogers Insurance Services</option>
      <option value="SBC Insurance Services">SBC Insurance Services</option>
      <option value="Tegner-Miller Insurance Brokers">Tegner-Miller Insurance Brokers</option>
      <option value="Titus Pacific Insurance Services">Titus Pacific Insurance Services</option>
      <option value="Vantreo - San Rafael">Vantreo - San Rafael</option>
      <option value="Vantreo Insurance Brokerage">Vantreo Insurance Brokerage</option>
      <option value="Wilshire Insurance Agency">Wilshire Insurance Agency</option>
    </select>
  </div>
</form>

POST /formbuilder?sc_site=Acrisure%20CD&fxb.FormItemId=2d0f0401-f396-47c8-8572-fcc615504a14&fxb.HtmlPrefix=fxb.b08ae798-e727-4926-b734-46ea5f2174ee

<form action="/formbuilder?sc_site=Acrisure%20CD&amp;fxb.FormItemId=2d0f0401-f396-47c8-8572-fcc615504a14&amp;fxb.HtmlPrefix=fxb.b08ae798-e727-4926-b734-46ea5f2174ee" class="platform-form" data-ajax="true" data-ajax-method="Post"
  data-ajax-mode="replace-with"
  data-ajax-success="$.validator.unobtrusive.parse('#fxb_b08ae798-e727-4926-b734-46ea5f2174ee_2d0f0401-f396-47c8-8572-fcc615504a14');$.fxbFormTracker.texts=$.fxbFormTracker.texts||{};$.fxbFormTracker.texts.expiredWebSession='Your session has expired. Please refresh this page.';$.fxbFormTracker.parse('#fxb_b08ae798-e727-4926-b734-46ea5f2174ee_2d0f0401-f396-47c8-8572-fcc615504a14');$.fxbConditions.parse('#fxb_b08ae798-e727-4926-b734-46ea5f2174ee_2d0f0401-f396-47c8-8572-fcc615504a14')"
  data-ajax-update="#fxb_b08ae798-e727-4926-b734-46ea5f2174ee_2d0f0401-f396-47c8-8572-fcc615504a14" data-sc-fxb="2d0f0401-f396-47c8-8572-fcc615504a14" enctype="multipart/form-data"
  id="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_2d0f0401-f396-47c8-8572-fcc615504a14" method="post" novalidate="novalidate"><input id="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_FormSessionId"
    name="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.FormSessionId" type="hidden" value="f860db59-5d9b-4e72-97c3-52d4de0d20fa"><input id="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_IsNewSession"
    name="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.IsNewSession" type="hidden" value="1"><input name="__RequestVerificationToken" type="hidden"
    value="ahsiW5U4yeMk3F3aKvO_vhB9DZg8zhccEXdmD40jZPzNwu-rsTj2dfnoP0jRpAQYLCVSJEy_8XPvBLeoF4TO1saomxVQBXxn9BL2va1Ho_M1"><input id="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_FormItemId" name="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.FormItemId"
    type="hidden" value="2d0f0401-f396-47c8-8572-fcc615504a14"><input id="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_PageItemId" name="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.PageItemId" type="hidden" value="a03ed4c3-0ee2-4453-a559-44d9c443e65b">
  <div data-sc-field-key="12EFCDFB4BFC478BAFB2008A76ED3F03" class="">
    <h2 data-sc-field-key="83EABB802E684AF3A9C30F31DA36B7FE" class="">Contact</h2>
  </div>
  <div data-sc-field-key="602D83BCD47943CDB2CCF52DCA948BB9" class="">
    <input id="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_Fields_Index_f28b4651-3aad-4c54-ba7b-4f5ab750dd55" name="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.Fields.Index" type="hidden" value="f28b4651-3aad-4c54-ba7b-4f5ab750dd55"><input
      id="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_Fields_f28b4651-3aad-4c54-ba7b-4f5ab750dd55__ItemId" name="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.Fields[f28b4651-3aad-4c54-ba7b-4f5ab750dd55].ItemId" type="hidden"
      value="f28b4651-3aad-4c54-ba7b-4f5ab750dd55"> <label for="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_Fields_f28b4651-3aad-4c54-ba7b-4f5ab750dd55__Value" class="">Full Name</label>
    <input id="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_Fields_f28b4651-3aad-4c54-ba7b-4f5ab750dd55__Value" name="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.Fields[f28b4651-3aad-4c54-ba7b-4f5ab750dd55].Value" class="" type="text" value=""
      maxlength="255" placeholder="Enter Full Name" data-sc-tracking="True" data-sc-field-name="Name" data-sc-field-key="33B7EE3507D14CFA87ACFD37544557C5" data-val-required="Please complete this required field." data-val="true">
    <span class="field-validation-valid" data-valmsg-for="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.Fields[f28b4651-3aad-4c54-ba7b-4f5ab750dd55].Value" data-valmsg-replace="true"></span>
  </div>
  <div data-sc-field-key="5D1095CAE84444BAB0735C82BEEE2958" class="">
    <input id="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_Fields_Index_11c8a73f-c8bb-4f7d-9ddd-4ada56cc8ca7" name="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.Fields.Index" type="hidden" value="11c8a73f-c8bb-4f7d-9ddd-4ada56cc8ca7"><input
      id="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_Fields_11c8a73f-c8bb-4f7d-9ddd-4ada56cc8ca7__ItemId" name="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.Fields[11c8a73f-c8bb-4f7d-9ddd-4ada56cc8ca7].ItemId" type="hidden"
      value="11c8a73f-c8bb-4f7d-9ddd-4ada56cc8ca7"><label for="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_Fields_11c8a73f-c8bb-4f7d-9ddd-4ada56cc8ca7__Value" class="">Email</label>
    <input id="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_Fields_11c8a73f-c8bb-4f7d-9ddd-4ada56cc8ca7__Value" name="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.Fields[11c8a73f-c8bb-4f7d-9ddd-4ada56cc8ca7].Value" class="" type="text" value=""
      maxlength="255" placeholder="Enter Email Address" data-sc-tracking="True" data-sc-field-name="Email" data-sc-field-key="3D16007318A744EC8AEE6BFEFA783A38" data-val-regex="Email must be formatted correctly."
      data-val-regex-pattern="^[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\.[A-Za-z]{2,17}$" data-val-required="Please complete this required field." data-val="true">
    <span class="field-validation-valid" data-valmsg-for="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.Fields[11c8a73f-c8bb-4f7d-9ddd-4ada56cc8ca7].Value" data-valmsg-replace="true"></span>
  </div>
  <div data-sc-field-key="F0A2370AC3484942802711E63D8B6D6D" class="">
    <input id="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_Fields_Index_caa2f9f4-9035-4603-a4ed-cf7e6cfcbb5e" name="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.Fields.Index" type="hidden" value="caa2f9f4-9035-4603-a4ed-cf7e6cfcbb5e"><input
      id="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_Fields_caa2f9f4-9035-4603-a4ed-cf7e6cfcbb5e__ItemId" name="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.Fields[caa2f9f4-9035-4603-a4ed-cf7e6cfcbb5e].ItemId" type="hidden"
      value="caa2f9f4-9035-4603-a4ed-cf7e6cfcbb5e"><label for="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_Fields_caa2f9f4-9035-4603-a4ed-cf7e6cfcbb5e__Value" class="">Message</label>
    <textarea id="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_Fields_caa2f9f4-9035-4603-a4ed-cf7e6cfcbb5e__Value" name="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.Fields[caa2f9f4-9035-4603-a4ed-cf7e6cfcbb5e].Value" class="" rows="4" maxlength="1000"
      placeholder="Enter Message" data-sc-tracking="True" data-sc-field-name="Message" data-sc-field-key="99FACA9701874187909E50CEC4C55489" data-val-length="Message must have at least 0 and no more than 1000 characters." data-val-length-max="1000"
      data-val="true"></textarea>
    <span class="field-validation-valid" data-valmsg-for="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.Fields[caa2f9f4-9035-4603-a4ed-cf7e6cfcbb5e].Value" data-valmsg-replace="true"></span>
  </div>
  <div data-sc-field-key="F0A2370AC3484942802711E63D8B6D6D" class="">
    <input id="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_Fields_Index_bc79d46d-a50e-4a6f-bffa-804799a5e716" name="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.Fields.Index" type="hidden" value="bc79d46d-a50e-4a6f-bffa-804799a5e716"><input
      id="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_Fields_bc79d46d-a50e-4a6f-bffa-804799a5e716__ItemId" name="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.Fields[bc79d46d-a50e-4a6f-bffa-804799a5e716].ItemId" type="hidden"
      value="bc79d46d-a50e-4a6f-bffa-804799a5e716">
    <label for="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_Fields_bc79d46d-a50e-4a6f-bffa-804799a5e716__Value" class="">Former Agency </label>
    <select id="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_Fields_bc79d46d-a50e-4a6f-bffa-804799a5e716__Value" name="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.Fields[bc79d46d-a50e-4a6f-bffa-804799a5e716].Value" class="agency-search agency-drpdwn"
      data-sc-tracking="True" data-sc-field-name="Former Agency" data-sc-field-key="3D9E3455363E4D81A28E1F24C075F770">
      <option value="">Select Your Agency</option>
      <option value="Acrisure Partners West Coast Insurance Services, LLC">Acrisure Partners West Coast Insurance Services, LLC</option>
      <option value="All Spectrum Insurance Brokers">All Spectrum Insurance Brokers</option>
      <option value="ANB Insurance Services">ANB Insurance Services</option>
      <option value="Asero Insurance Services">Asero Insurance Services</option>
      <option value="Beach &amp; O'Neill Insurance Associates">Beach &amp; O'Neill Insurance Associates</option>
      <option value="Bedrosian &amp; Associates">Bedrosian &amp; Associates</option>
      <option value="Benefits Done Right Insurance Agency, LLC">Benefits Done Right Insurance Agency, LLC</option>
      <option value="Bob Gabriel Co. Insurance Services">Bob Gabriel Co. Insurance Services</option>
      <option value="Bozzuto &amp; Associates Insurance Services">Bozzuto &amp; Associates Insurance Services</option>
      <option value="Commercial Coverage Insurance Agency">Commercial Coverage Insurance Agency</option>
      <option value="Contractor's Edge Insurance Services">Contractor's Edge Insurance Services</option>
      <option value="Cooper Insurance Agency">Cooper Insurance Agency</option>
      <option value="Craig C. Hansen Insurance Service">Craig C. Hansen Insurance Service</option>
      <option value="Dillon Risk Management and Insurance Services">Dillon Risk Management and Insurance Services</option>
      <option value="EJMS Services">EJMS Services</option>
      <option value="Filice Insurance Services - Campbell">Filice Insurance Services - Campbell</option>
      <option value="Filice Insurance Services - Folsom">Filice Insurance Services - Folsom</option>
      <option value="Filice Insurance Services - Lake Forest">Filice Insurance Services - Lake Forest</option>
      <option value="Filice Insurance Services - Larkspur">Filice Insurance Services - Larkspur</option>
      <option value="Filice Insurance Services - Moraga">Filice Insurance Services - Moraga</option>
      <option value="Filice Insurance Services - Pleasanton">Filice Insurance Services - Pleasanton</option>
      <option value="Filice Insurance Services - San Diego">Filice Insurance Services - San Diego</option>
      <option value="Filice Insurance Services - San Francisco">Filice Insurance Services - San Francisco</option>
      <option value="Frontier Bay Insurance Services">Frontier Bay Insurance Services</option>
      <option value="Galen Hayes Insurance Agency">Galen Hayes Insurance Agency</option>
      <option value="J.S. Tucker Insurance Services">J.S. Tucker Insurance Services</option>
      <option value="Kuhn Insurance Services">Kuhn Insurance Services</option>
      <option value="Los Gatos Insurance Services">Los Gatos Insurance Services</option>
      <option value="Martin J. Wolff &amp; Company, Inc. Insurance Agents">Martin J. Wolff &amp; Company, Inc. Insurance Agents</option>
      <option value="Monarch Insurance Services">Monarch Insurance Services</option>
      <option value="Oahu Associates">Oahu Associates</option>
      <option value="Pacific Diversified Insurance Services">Pacific Diversified Insurance Services</option>
      <option value="Pacific Diversified Insurance Services - Elk Grove">Pacific Diversified Insurance Services - Elk Grove</option>
      <option value="Pacific Diversified Insurance Services - Morgan Hill">Pacific Diversified Insurance Services - Morgan Hill</option>
      <option value="Parelius Insurance Services">Parelius Insurance Services</option>
      <option value="Pennbrook Insurance Services, Inc.">Pennbrook Insurance Services, Inc.</option>
      <option value="ProCo Insurance Services">ProCo Insurance Services</option>
      <option value="ProCo Insurance Services - Pleasanton">ProCo Insurance Services - Pleasanton</option>
      <option value="ProCo Insurance Services - Redwood City">ProCo Insurance Services - Redwood City</option>
      <option value="Progressive Benefit Group">Progressive Benefit Group</option>
      <option value="Provence Financial &amp; Insurance Services">Provence Financial &amp; Insurance Services</option>
      <option value="Risk Concepts Insurance Brokers">Risk Concepts Insurance Brokers</option>
      <option value="Rogers Insurance Services">Rogers Insurance Services</option>
      <option value="SBC Insurance Services">SBC Insurance Services</option>
      <option value="Tegner-Miller Insurance Brokers">Tegner-Miller Insurance Brokers</option>
      <option value="Titus Pacific Insurance Services">Titus Pacific Insurance Services</option>
      <option value="Vantreo - San Rafael">Vantreo - San Rafael</option>
      <option value="Vantreo Insurance Brokerage">Vantreo Insurance Brokerage</option>
      <option value="Wilshire Insurance Agency">Wilshire Insurance Agency</option>
    </select>
    <span class="field-validation-valid" data-valmsg-for="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.Fields[bc79d46d-a50e-4a6f-bffa-804799a5e716].Value" data-valmsg-replace="true"></span>
  </div>
  <div data-sc-field-key="54659BBA7EF84BFAA2B584F47A7281E9" class="handle-error-message">
    <input value="Submit" type="submit" class="" name="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.6a393eb5-ee5b-47a4-9b08-2d520ac59a6c" data-sc-field-key="995F8555C8EA490A8B337DBA2E133C63">
    <input id="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_NavigationButtons" name="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.NavigationButtons" type="hidden" value="6a393eb5-ee5b-47a4-9b08-2d520ac59a6c">
    <input id="fxb_b08ae798-e727-4926-b734-46ea5f2174ee_6a393eb5-ee5b-47a4-9b08-2d520ac59a6c" name="fxb.b08ae798-e727-4926-b734-46ea5f2174ee.6a393eb5-ee5b-47a4-9b08-2d520ac59a6c" type="hidden" value="0">
    <p data-sc-field-key="BF31D9EB73C6487E8376A7C49D0DE5C3" class="platform-message hide">Form Submitted Successfully!</p>
  </div>
  <input type="hidden" data-sc-fxb-condition="" value="{}">
</form>

Text Content

Press Alt+1 for screen-reader mode, Alt+0 to cancelAccessibility Screen-Reader
Guide, Feedback, and Issue Reporting

 * Our Company
   * Brand Partnerships
   * Community Impact
   * Evolution Advisors
   * Leadership
   * M&A
   * Industries
   * News
   * Careers
 * Solutions
   * FOR ME
      * Home
      * Auto
      * Life
      * Health
      * Flood
      * RETIREMENT SERVICES
   * FOR MY BUSINESS
      * Business Insurance
      * Employee Benefits
      * Cyber Services
 * Insights
 * Acrisure Offices
   * Find a Local Office






FIND A LOCAL ACRISURE PARTNER




ACRISURE SITE SEARCH


Search

SOLUTIONS

 * Our Company
   * Brand Partnerships
   * Community Impact
   * Evolution Advisors
   * Leadership
   * M&A
   * Industries
   * News
   * Careers
 * Solutions
   * FOR ME
      * Home
      * Auto
      * Life
      * Health
      * Flood
      * RETIREMENT SERVICES
   * FOR MY BUSINESS
      * Business Insurance
      * Employee Benefits
      * Cyber Services
 * Insights
 * Acrisure Offices
   * Find a Local Office

Are you an existing client? Select Your AgencyAcrisure Partners West Coast
Insurance Services, LLCAll Spectrum Insurance BrokersANB Insurance ServicesAsero
Insurance ServicesBeach & O'Neill Insurance AssociatesBedrosian &
AssociatesBenefits Done Right Insurance Agency, LLCBob Gabriel Co. Insurance
ServicesBozzuto & Associates Insurance ServicesCommercial Coverage Insurance
AgencyContractor's Edge Insurance ServicesCooper Insurance AgencyCraig C. Hansen
Insurance ServiceDillon Risk Management and Insurance ServicesEJMS
ServicesFilice Insurance Services - CampbellFilice Insurance Services -
FolsomFilice Insurance Services - Lake ForestFilice Insurance Services -
LarkspurFilice Insurance Services - MoragaFilice Insurance Services -
PleasantonFilice Insurance Services - San DiegoFilice Insurance Services - San
FranciscoFrontier Bay Insurance ServicesGalen Hayes Insurance AgencyJ.S. Tucker
Insurance ServicesKuhn Insurance ServicesLos Gatos Insurance ServicesMartin J.
Wolff & Company, Inc. Insurance AgentsMonarch Insurance ServicesOahu
AssociatesPacific Diversified Insurance ServicesPacific Diversified Insurance
Services - Elk GrovePacific Diversified Insurance Services - Morgan HillParelius
Insurance ServicesPennbrook Insurance Services, Inc.ProCo Insurance
ServicesProCo Insurance Services - PleasantonProCo Insurance Services - Redwood
CityProgressive Benefit GroupProvence Financial & Insurance ServicesRisk
Concepts Insurance BrokersRogers Insurance ServicesSBC Insurance
ServicesTegner-Miller Insurance BrokersTitus Pacific Insurance ServicesVantreo -
San RafaelVantreo Insurance BrokerageWilshire Insurance Agency


ACRISURE WEST REGION

WITH DECADES OF EXPERIENCE SUPPORTING BUSINESSES, FAMILIES AND CLIENTS OF ALL
SIZES THROUGHOUT THE WEST AND ACROSS THE COUNTRY, OUR TEAM COMBINES THE
EXPERTISE OF PROMINENT AGENCIES WHO PROVIDE SERVICES IN INDUSTRIES INCLUDING
TECHNOLOGY, MANUFACTURING, CONSTRUCTION, REAL ESTATE, CANNABIS, SOCIAL SERVICES
AND RISK MANAGEMENT COMPLIANCE. TOGETHER, WE SERVE CLIENTS AS TRUSTED ADVISORS
TO PROTECT THEIR EMPLOYEES, ASSETS, MANAGE COSTS, MITIGATE RISK AND ACHIEVE
FINANCIAL SECURITY.



Partners
Previous

Next


CLIENT RESOURCES

 

Pay Now


ALL SPECTRUM

 * All Spectrum Insurance Brokers Payment Portal


ANB INSURANCE SERVICES

 * Payment Center


BOB GABREIL

 * Payment/Claims


BOZZUTO & ASSOCIATES INSURANCE

 * Cannabis Connect


COMPZONE

 * Work comp resources


DILLION RISK MANAGEMENT

 * CSR24


EJMS INSURANCE SERVICES

 * EJMS Certificate Request


                        


                        

 


PACIFIC DIVERSIFIED INSURANCE SERVICES

 * Pacific Diversified Client Portal


PENNBROOK INSURANCE SERVICES, INC.

 * Auto Reporting Form
 * Employer Report of Injury
 * Liability Reporting Form
 * Property Reporting Form
 * Small Business Insurance Quote


PROVENCE FINANCIAL & INSURANCE SERVICES

 * Provence Onboarding Meeting
 * Provence Payment Portal


PROCO

 * ProCo Reporting Hotline


VANTREO

 * Vantreo Instant Access


WEST PARTNERS

 * West Platform W9


                                


























LINE OF BUSINESS

 * Employee Benefits
 * Commercial Insurance
 * Cannabis
 * Personal Insurance
 * Risk Management


LINE OF BUSINESS

 * Employee Benefits
 * Commercial Insurance - Workers Compensation, General Liability, Auto,
   Property, Professional Liability
 * Cannabis Business Insurance
 * Personal Lines
 * Claims Advocacy


AREAS OF EXPERTISE

 * Technology
 * Manufacturing
 * Construction
 * Real Estate, including coverage for building owners, property managers and
   developers
 * Cannabis
 * Non-Profit
 * Risk Management Compliance




KEY CONTACTS (LEADERSHIP)


JENNIFER ANDERSON


Managing Partner, Acrisure West Region
View Bio

Jennifer Anderson is Managing Partner of Acrisure's West region. Prior to this
role, Jennifer served as President of Bozzuto Insurance for more than 27 years
where she played an integral role in managing operations as well as future
planning for the company.

In 2018, Jennifer was instrumental in the sale of Bozzuto & Associates to
Acrisure and has since served clients with Acrisure's full suite of solutions
including insurance, reinsurance, cyber services and more.

A graduate of the University of Phoenix, Jennifer has been part of Bozzuto for
25 years and is active in her local Chamber of Commerce and is a Past President
of CREW Silicon Valley, an organization dedicated to advancing the success of
women in commercial real estate.





DAN MICHELINI


Managing Partner, Acrisure West Region
View Bio

Dan Michelini, President and CEO of Filice/Acrisure, has 20 years of experience
in the Employee Benefits space, with responsibility for revenue growth,
operational excellence, and attracting and retaining the best talent in the
industry.
 
He splits his time between managing the Filice organization, driving new sales
opportunities, and overseeing large strategic client accounts. Dan also has
developed strong carrier relationships, resulting in Filice being positioned as
a Premier Partner for most major medical and dental carriers. These
relationships drive great value for Filice clients in terms of pricing
advantages and long-term sustainability of benefit programs.
 
Prior to Filice, Dan worked in the consulting industry, and held executive
positions with a number of early to mid-stage technology companies. He earned a
BA from the University of Notre Dame, and an MBA from the Haas School of
Business at UC Berkeley.





DAWN ALVAREZ

Head of Operations
View Bio


Dawn Alvarez is Head of Operations of Acrisure's West Region. Prior to this
role, Dawn served as EVP of Client Services and Compliance of Filice, a
full-service benefits consulting firm, where she managed the client service
operations and lead the compliance team.

Prior to Filice, Dawn worked as an HR professional in the construction and
semiconductor industries. She earned her BA from California East Bay and an MBA
from Golden Gate University.




←Naar links→Naar rechts↑Omhoog↓Omlaag+Inzoomen-UitzoomenHome75% naar links
schuivenEnd75% naar rechts schuivenPage Up75% omhoog schuivenPage Down75% omlaag
schuiven

Druk op de pijltoetsen om te navigeren.


































































Sneltoetsen
KaartgegevensKaartgegevens ©2023 Google, INEGI
Kaartgegevens ©2023 Google, INEGI

500 km 

Klik om te schakelen tussen metrische en Britse eenheden
Voorwaarden
Een kaartfout rapporteren


ANAHEIM

Vantreo Insurance Brokerage

1950 W. Corporate Way #1

Anaheim, CA 92801

(707) 546-2300




CAMPBELL

Acrisure Partners West Coast Insurance Services, LLC

34 S 2nd Street

Campbell, CA 95008

Unknown




CAMPBELL

Bozzuto & Associates Insurance Services

34 S 2nd Street

Campbell, CA 95008

(408) 680-0200




CAMPBELL

Filice Insurance Services - Campbell

900 East Hamilton Avenue, Suite 500

Campbell, CA 95008

(404) 350-5700




CHICO

Titus Pacific Insurance Services

2068 Talbert Drive, Suite 100

Chico, CA 95928

(530) 895-1555




CITRUS HEIGHTS

Beach & O'Neill Insurance Associates

7520 Greenback Lane

Citrus Heights, CA 95610

(800) 640-0123

sales@beachandoneill.com




DANVILLE

Frontier Bay Insurance Services

117 Town and Country Drive, Suite B

Danville, CA 94526

(925) 217-4974




DANVILLE

Rogers Insurance Services

117 Town and Country Drive, Suite B

Danville, CA 94526

(925) 365-3200




EL SOBRANTE

Galen Hayes Insurance Agency

3550 San Pablo Dam Road Suite C

El Sobrante, CA 94803

(510) 222-8643




ELK GROVE

Provence Financial & Insurance

Provence Financial & Insurance Services

9245 Laguna Springs, Dr #200

Elk Grove, CA 95758

(916) 429-4741

iffi.wahla@provenceinc.com




EUREKA

Craig C. Hansen Insurance Service

2103 3rd Street

Eureka, CA 95501

(707) 445-9691




FOLSOM

Filice Insurance Services - Folsom

111 Woodmere Road, Suite 290

Folsom, CA 95630

(916) 929-2146




FRESNO

Cooper Insurance Agency

5722 South Elm Avenue

Fresno, CA 93706

(559) 312-1682




GRANITE BAY

Dillon Risk Management and Insurance Services

Dillon Risk Management and Insurance Services

4180 Douglas BoulevardSuite 100

Granite Bay, CA 95746

(866) 876-4193


AGENCY RESOURCES

Dillon Risk Client Portal



HONOLULU

Monarch Insurance Services

677 Ala Moana Boulevard, Suite 500

Honolulu, HI 96813

(808) 537-2564




HONOLULU

Oahu Associates

677 Ala Moana Boulevar, Suite 500

Honolulu, HI 96813

(808) 537-2564




LAKE FOREST

Filice Insurance Services - Lake Forest

26238 Enterprise Court

Lake Forest, CA 92630

(949) 209-5010




LARKSPUR

Filice Insurance Services - Larkspur

17 E. Sir Francis Drake Boulevard, Suite 218

Larkspur, CA 94939

(408) 350-5700




LOS GATOS

EJMS Services

451 Los Gatos Boulevard, Suite 201

Los Gatos, CA 95032

(408) 402-0400

eszylko@ejms.com


AGENCY RESOURCES

EJMS Certificate Request Form



LOS GATOS

Los Gatos Insurance Services

451 Los Gatos Blvd 2nd Floor

Los Gatos, CA 95032

(408) 356-6747




MORAGA

Filice Insurance Services - Moraga

1150 Moraga Way

Moraga, CA 94556

(408) 350-5776




MORGAN HILL

Pacific Diversified Insurance Services - Morgan Hill

15005 Concord Circle #110

Morgan Hill, CA 95037

(925) 686-2860




NOVATO

ProCo Insurance Services

7250 Redwood Boulevard, Suite 112

Novato, CA 94947

(415) 223-5500


AGENCY RESOURCES

ProCo Reporting Hotline



PLEASANT HILL

Pacific Diversified Insurance Services

363 Civic Drive, Suite 100

Pleasant Hill, CA 94523

(925) 686-2860




PLEASANT HILL

Risk Concepts Insurance Brokers

3480 Buskirk Avenue, Suite 260

Pleasant Hill, CA 94523

(925) 933-9200




PLEASANTON

ProCo Insurance Services - Pleasanton

5776 Stoneridge Mall Road Suite 250

Pleasanton, CA 94588

(415) 223-5500


AGENCY RESOURCES

ProCo Reporting Hotline



PLEASANTON

Filice Insurance Services - Pleasanton

6602 Owens Drive, Suite 200

Pleasanton, CA 94588

(825) 786-1873




REDWOOD CITY

ProCo Insurance Services - Redwood City

2055 Woodside Road, Suite 290

Redwood City, CA 94061

(415) 223-5500


AGENCY RESOURCES

ProCo Reporting Hotline



SACRAMENTO

Benefits Done Right Insurance Agency, LLC

601 University Avenue, Suite 250

Sacramento, CA 95825

(916) 568-2345




SACRAMENTO

Pacific Diversified Insurance Services - Elk Grove

2775 Cottage Way, Suite 21

Sacramento, CA 95825

(925) 686-2860




SAN CLEMENTE

Contractor's Edge Insurance Services

107 Avenida De La Estrella #201a

San Clemente, CA 92672

(877) 327-5086




SAN DIEGO

Filice Insurance Services - San Diego

530 B Street, Suite 1870

San Diego, CA 92101

(408) 350-5700




SAN DIEGO

J.S. Tucker Insurance Services

5330 Carroll Canyon Road, Suite 100

San Diego, CA 92121

(858) 345-5787




SAN FRANCISCO

Commercial Coverage Insurance Agency

50 California Street. Suite 1500

San Francisco, CA 94111

(877) 776-5900




SAN FRANCISCO

Filice Insurance Services - San Francisco

343 Duncan Street, Number 3

San Francisco, CA 94114

(408) 350-5748




SAN FRANCISCO

Pennbrook Insurance Services, Inc.

142 Sansome Street Floor 4

San Francisco, CA 94104

(415) 820-2200




SAN JOSE

Parelius Insurance Services

2051 Junction Avenue, Suite 205

San Jose, CA 95131

(408) 434-9101

vvalatkas@acrisure.com




SAN JOSE

All Spectrum Insurance Brokers

4010 Moorpark Avenue, Suite 117

San Jose, CA 95117

(408) 739-8300

MIschanov@acrisure.com




SAN JOSE

Asero Insurance Services

200 N. Almaden Boulevard 3rd Floor

San Jose, CA 95110

(408) 271-2300




SAN JOSE

Kuhn Insurance Services

175 Bernal Road #100

San Jose, CA 95119

(408) 227-1304




SAN JOSE

SBC Insurance Services

200 N Almaden Boulevard 3rd Floor

San Jose, CA 95110

(650) 469-0400




SAN RAFAEL

Vantreo - San Rafael

851 Irwin Street, Suite 300

San Rafael, CA 94901

(707) 546-2300




SANTA CRUZ

Progressive Benefit Group

9035 Soquel Avenue, Suite 200

Santa Cruz, CA 95062

(877) 724-7187

ndahlgren@acrisure.com




SANTA CRUZ

ANB Insurance Services

1414 Soquel Avenue, Suite 105

Santa Cruz, CA 95062

(831) 423-4304




SANTA MONICA

Bob Gabriel Co. Insurance Services

2325 Willshire Blvd

Santa Monica, CA 90403

(310) 829-0305




SANTA MONICA

Martin J. Wolff & Company, Inc. Insurance Agents

2001 Wilshire Boulevard

Santa Monica, CA 90403

(323) 931-1745




SANTA MONICA

Tegner-Miller Insurance Brokers

2001 Wilshire Boulevard, Suite 101

Santa Monica, CA 90403

(310) 828-9662




SANTA MONICA

Wilshire Insurance Agency

2001 Wilshire Boulevard

Santa Monica, CA 90403

(213) 553-8400




TIBURON

Bedrosian & Associates

39 Main Street

Tiburon, CA 94920

(650) 367-0259

ryan@bedrosianllc.com







CONTACT

Full Name
Email
Message
Former Agency Select Your AgencyAcrisure Partners West Coast Insurance Services,
LLCAll Spectrum Insurance BrokersANB Insurance ServicesAsero Insurance
ServicesBeach & O'Neill Insurance AssociatesBedrosian & AssociatesBenefits Done
Right Insurance Agency, LLCBob Gabriel Co. Insurance ServicesBozzuto &
Associates Insurance ServicesCommercial Coverage Insurance AgencyContractor's
Edge Insurance ServicesCooper Insurance AgencyCraig C. Hansen Insurance
ServiceDillon Risk Management and Insurance ServicesEJMS ServicesFilice
Insurance Services - CampbellFilice Insurance Services - FolsomFilice Insurance
Services - Lake ForestFilice Insurance Services - LarkspurFilice Insurance
Services - MoragaFilice Insurance Services - PleasantonFilice Insurance Services
- San DiegoFilice Insurance Services - San FranciscoFrontier Bay Insurance
ServicesGalen Hayes Insurance AgencyJ.S. Tucker Insurance ServicesKuhn Insurance
ServicesLos Gatos Insurance ServicesMartin J. Wolff & Company, Inc. Insurance
AgentsMonarch Insurance ServicesOahu AssociatesPacific Diversified Insurance
ServicesPacific Diversified Insurance Services - Elk GrovePacific Diversified
Insurance Services - Morgan HillParelius Insurance ServicesPennbrook Insurance
Services, Inc.ProCo Insurance ServicesProCo Insurance Services - PleasantonProCo
Insurance Services - Redwood CityProgressive Benefit GroupProvence Financial &
Insurance ServicesRisk Concepts Insurance BrokersRogers Insurance ServicesSBC
Insurance ServicesTegner-Miller Insurance BrokersTitus Pacific Insurance
ServicesVantreo - San RafaelVantreo Insurance BrokerageWilshire Insurance Agency

Form Submitted Successfully!

 
 
 
 


DISCOVER ACRISURE


OUR COMPANY

Learn more about Acrisure, our solutions and purpose.


CAREERS

Acrisure redefined growth. Climb aboard the rocket ship!


CONTACT US

Find a solution. Start a Partnership. Open a new chapter in your career.
Whatever your reason, get in touch!


ACRISURE PARTNER PORTAL

 * Workday

 * 
 * Industries
 * 
 * M&A
 * aetna MRFs

 * Insurance
 * Reinsurance
 * Cyber Services
 * Asset & Wealth Management

 * Our Company
 * Careers
 * Contact Us
 * High Yield Investors
 * Legal

100 Ottawa Avenue SW, Grand Rapids, MI 49503
© 2023 Acrisure, LLC. All rights reserved.
 * Terms of Use
 * Privacy
 * Do Not Sell Or Share My Personal Information (Opt-Out)











By clicking “Accept All Cookies”, you agree to the storing of cookies on your
device to enhance site navigation, analyze site usage, and assist in our
marketing efforts.

Cookies Settings Accept All Cookies



PRIVACY PREFERENCE CENTER

When you visit any website, it may store or retrieve information on your
browser, mostly in the form of cookies. This information might be about you,
your preferences or your device and is mostly used to make the site work as you
expect it to. The information does not usually directly identify you, but it can
give you a more personalized web experience. Because we respect your right to
privacy, you can choose not to allow some types of cookies. Click on the
different category headings to find out more and change our default settings.
However, blocking some types of cookies may impact your experience of the site
and the services we are able to offer.
More information
Allow All


MANAGE CONSENT PREFERENCES

STRICTLY NECESSARY COOKIES

Always Active

These cookies are necessary for the website to function and cannot be switched
off in our systems. They are usually only set in response to actions made by you
which amount to a request for services, such as setting your privacy
preferences, logging in or filling in forms. You can set your browser to block
or alert you about these cookies, but some parts of the site will not then work.
These cookies do not store any personally identifiable information.

PERFORMANCE COOKIES

Performance Cookies

These cookies allow us to count visits and traffic sources so we can measure and
improve the performance of our site. They help us to know which pages are the
most and least popular and see how visitors move around the site. All
information these cookies collect is aggregated and therefore anonymous. If you
do not allow these cookies we will not know when you have visited our site, and
will not be able to monitor its performance.

TARGETING COOKIES

Targeting Cookies

These cookies may be set through our site by our advertising partners. They may
be used by those companies to build a profile of your interests and show you
relevant adverts on other sites. They do not store directly personal
information, but are based on uniquely identifying your browser and internet
device. If you do not allow these cookies, you will experience less targeted
advertising.

FUNCTIONAL COOKIES

Functional Cookies

These cookies enable the website to provide enhanced functionality and
personalisation. They may be set by us or by third party providers whose
services we have added to our pages. If you do not allow these cookies then some
or all of these services may not function properly.

Back Button


PERFORMANCE COOKIES



Search Icon
Filter Icon

Clear
checkbox label label
Apply Cancel
Consent Leg.Interest
checkbox label label
checkbox label label
checkbox label label

Confirm My Choices