www.lipca.com Open in urlscan Pro
192.124.249.33  Public Scan

Form analysis
3 forms found in the DOM

<form class="search-form container">
  <input type="text" name="search" class="form-control search" value="" placeholder="Search">
  <button type="button" class="btn btn-link"><span class="sr-only">Search </span><i class="fa fa-search fa-flip-horizontal search-icon"></i></button>
  <button type="button" class="btn btn-link close-btn" data-toggle="search-form-close"><span class="sr-only">Close </span><i class="fa fa-times search-icon"></i></button>
</form>

Name: contactform — POST quick_quote?action=submit

<form action="quick_quote?action=submit" class=" " name="contactform" id="contact_form" method="post" onsubmit="return checkform(this)">
  <div class="modal-content">
    <div class="modal-header bg-light">
      <h4 class="modal-title">Get a Quick Quote:</h4>
      <button type="button" class="close" data-dismiss="modal" aria-hidden="true">×</button>
    </div>
    <div class="modal-header bg-light">
      <p>Please provide the following information and we can get you an indication price - usually within 24 to 48 hours!</p>
    </div>
    <div class="modal-body">
      <div class="form-group">
        <h6 class="op-8">Quote For:</h6>
        <select class="form-control" name="type">
          <option value="General">General Pest/Wildlife Receipts</option>
          <option value="Termite">Termite Service</option>
          <option value="WDIR">WDIR (Real Estate Inspection)</option>
          <option value="Lawn">Lawn and Ornamental</option>
          <option value="Other">Other</option>
        </select>
      </div>
      <div class="form-group">
        <label class="sr-only" for="receipts">Receipts</label>
        <input type="text" class="form-control" name="receipts" placeholder="List Receipts $">
      </div>
      <div class="form-group">
        <label class="sr-only" for="effective_date">Effective Date of Policy</label>
        <input type="text" class="form-control" name="effective_date" placeholder="Effective Date of Policy ( D/M/Y )">
      </div>
      <div class="form-group">
        <label class="sr-only" for="liability_limits">Limits of Liability</label>
        <input type="text" class="form-control" name="liability_limits" placeholder="Limits-Occurrence/Aggregate $">
      </div>
      <div class="form-group">
        <label class="sr-only" for="deductible">Deductible</label>
        <input type="text" class="form-control" name="deductible" placeholder="Deductible $">
      </div>
      <div class="form-group">
        <label class="sr-only" for="payroll">Payroll</label>
        <input type="text" class="form-control" name="payroll" placeholder="Payroll $">
      </div>
      <hr>
      <h6 class="op-8">Account Information</h6>
      <div class="form-group">
        <label class="sr-only" for="quoter_company">Company Name</label>
        <input type="text" class="form-control" name="quoter_company" placeholder="Company Name">
      </div>
      <div class="form-group">
        <label class="sr-only" for="quoter_name">Contact Name</label>
        <input type="text" class="form-control" name="quoter_name" placeholder="Contact Name">
      </div>
      <div class="form-group">
        <label class="sr-only" for="quoter_phone">Contact Phone</label>
        <input type="text" class="form-control" name="quoter_phone" placeholder="Contact Phone">
      </div>
      <div class="form-group">
        <label class="sr-only" for="quoter_email">Email address</label>
        <input type="email" class="form-control" name="quoter_email" placeholder="Email Address">
      </div>
      <br><br>
      <div class="g-recaptcha" data-sitekey=""></div><br>
    </div>
    <div class="modal-footer bg-light py-3">
      <div class="d-flex align-items-center">
        <input name="Submit" type="submit" class="btn btn-primary" value="Get Quote">
        <button type="button" class="btn btn-link ml-1" data-dismiss="modal" aria-hidden="true">Cancel</button>
      </div>
    </div>
  </div><!-- /.modal-content -->
</form>

login.html

<form action="login.html">
  <div class="modal-header bg-light">
    <h4 class="modal-title">Login</h4>
    <button type="button" class="close" data-dismiss="modal" aria-hidden="true">×</button>
  </div>
  <div class="modal-body">
    <div class="form-group">
      <label class="sr-only" for="login-email">Email</label>
      <input type="email" id="login-email" class="form-control email" placeholder="Email">
    </div>
    <div class="form-group mb-0">
      <label class="sr-only" for="login-password">Password</label>
      <input type="password" id="login-password" class="form-control password mb-1" placeholder="Password">
    </div>
  </div>
  <div class="modal-footer bg-light py-3">
    <div class="d-flex align-items-center">
      <button type="button" class="btn btn-primary">Login</button>
      <button type="button" class="btn btn-link ml-1" data-dismiss="modal" aria-hidden="true">Cancel</button>
    </div>
    <p class="text-xs text-right text-lh-tight op-8 my-0 ml-auto"> Not a member? <a href="#" class="signup">Sign up now!</a>
      <br>
      <a href="#">Forgotten password?</a>
    </p>
  </div>
</form>

Text Content

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 * Home
   
 * Offices
   
   
   INFORMATION
   
   About Us Company History LIPCA Staff Mission Statement Contact Us Quick Quote
   
   
   PHOTOS
   
   
   
 * Services
   
   
   FOR PMPS:
   
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   FOR AGENTS:
   
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   INSURANCE PROGRAMS:
   
   Overview Pest Control Lawn Care Workers Comp Auto Umbrella
   
   
   FORMS & APPLICATIONS:
   
   Bond Application General Liability Application Certificate of Insurance Lawn
   & Landscape Supplement Fumigation Supplement Property Supplement Umbrella
   Supplement
   
 * Quick Quote
   
 * File A Claim
   
 * Loss Control




WELCOME PMPS

 Most of our staff has attended termite training school and other pest
educational venues, and our EVP/COO has access to great examples of contracts
and warranties.

Learn More


WELCOME AGENTS

LIPCA is the only pest and lawn management insurance provider owned by and
completely dedicated to pest control that writes all size pest and landscaping
businesses.

Learn More


ABOUT US

Through maintaining good relationships with regulatory departments across the
country, LIPCA is ready to answer any questions you may have regarding insurance
requirements.

Learn More


COMPREHENSIVE SERVICES

Pest Control Lawn Care Umbrella

Contact Us!

LIPCA PEST INSURANCE

 *   (800) 893-9887
 *   (225) 927-3283
 *   3042 Old Forge Dr, Suite A
 *   Baton Rouge, LA 70808

PEST INSURANCE PROS

LIPCA is the singular insurance agency that was created and is operated by
Pest/Lawn Management Professionals and their families.



--------------------------------------------------------------------------------

© 2010-22 LIPCA | All Rights Reserved.

 * Privacy Policy
 * Contact Us
 * Credits

LIPCA PEST INSURANCE

LIPCA is the singular insurance agency that was created and is operated by Pest
Management Professionals and their families. We are those professionals JUST
LIKE YOU since 1985!

Find out more

--------------------------------------------------------------------------------

CONTACT US

(225) 927-3283

info@lipca.com

3042 Old Forge Dr, Suite A
     Baton Rouge, LA 70808

GET A QUICK QUOTE:

×

Please provide the following information and we can get you an indication price
- usually within 24 to 48 hours!

QUOTE FOR:

General Pest/Wildlife Receipts Termite Service WDIR (Real Estate Inspection)
Lawn and Ornamental Other
Receipts
Effective Date of Policy
Limits of Liability
Deductible
Payroll

--------------------------------------------------------------------------------

ACCOUNT INFORMATION

Company Name
Contact Name
Contact Phone
Email address




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