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Commercial Auto Insurance Quote
Protect your fleet and drivers on the road. Get reliable Commercial Auto coverage tailored to your business operations.
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Business Overview & Contact Details
Legal Business Name
*
Doing Business As (DBA) Name (if applicable)
Primary Contact Person Full Name and Title / Position
*
Contact Phone Number
*
Email Address
*
Primary Business Street / Garaging Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Business Website URL
Years in Business
Detailed Description of Business Operations & Cargo Handled
Fleet & Operation Details
Total Number of Vehicles to Insure
*
USDOT Number (or State DOT / MC #)
(Optional / If applicable)
Primary Radius of Operation
*
Local (Under 50 miles)
Regional (50 - 200 miles)
Long Distance / Interstate (200+ miles)
Do employees drive personal vehicles for business errands/tasks?
Yes
No
Do you run Motor Vehicle Record (MVR) background checks on all drivers annually?
Yes
No
Do any vehicles haul hazardous materials or specialized equipment?
Yes
No
Please describe hazardous materials or equipment
Vehicle Information
Primary Vehicle Details: Year, Make, and Model
Vehicle Identification Number (VIN)
GVWR / Vehicle Type
Light Duty / Car / SUV
Pickup Truck
Box Truck / Cargo Van
Heavy Semi / Tractor
Trailer
Primary Use
Service / Job Site
Retail Delivery
Wholesale / Distribution
Passenger Transport
Ownership Status
Owned
Financed
Leased
Stated / Estimated Vehicle Value ($)
Driver Information
Primary Driver Full Name
*
Date of Birth
Driver's License Number & State
Years of Commercial Driving Experience
Prior Loss History & Current Policy
Currently Insured for Commercial Auto?
Yes
No
Current Insurance Carrier Name
Policy Expiration Date
Name drivers Vehicles
Have any drivers or vehicles had accidents, moving violations, or claims in the past 3 years?
Yes
No
Please describe the incident date, driver responsible, and total payout/damage amount
Desired Coverages & Limits
Commercial Auto Liability Limit
$500,000 Combined Single Limit
$1,000,000 Combined Single Limit
Comprehensive & Collision Deductible
$500
$1,000
$2,500
Decline Coverage
Uninsured / Underinsured Motorist Coverage
$500,000
$1,000,000
Reject Coverage
Additional Coverage Endorsements
Hired & Non-Owned Auto Liability
Roadside Assistance / Towing
Rental Reimbursement
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