Submission Requirements
|
Commercial Auto
To Top
|
Non Fleet (1 - 4 power units)
Interstate Commercial Auto Quick
Quote Application (Public Auto Quick Quote Application for Passenger Transport accounts) *
|
|
Fleet (5 or more power units)
Interstate Carrier Fleet Application (if unsure of which application to use, please contact underwriter)*
|
Vehicle schedule including type of each truck
and trailer, gvw, and current (stated) value
for all units requiring physical damage coverage
| |
Vehicle schedule including type of each truck
and trailer, gvw, and current (stated) value
for all units requiring physical damage coverage
|
Driver schedule including # of years CDL
experience (or commercial driving experience
for non-CDL vehicles), and date of employment
for all drivers
| |
Driver schedule including # of years CDL
experience (or commercial driving experience
for non-CDL vehicles), and date of employment
for all drivers
|
Three year accident / violation history per driver
(mvr’s preferred if available but not required)
| |
Mvr's
|
Three year prior carrier information, and three
year prior loss history (loss runs preferred if
available but not required)
| |
Three year hard copy loss runs
|
Areas of operation including cities / towns entered
to pick-up and drop-off loads
| |
Areas of operation including cities / towns entered
to pick-up and drop-off loads
|
|
| |
Last 4 quarters IFTA reports
|
|
| |
Financial statement for 25+ units
|
|
* Other quote forms or company applications may be accepted. We Prefer not to work from Acord applications (although Acord vehicle schedules are agreeable). Please note however that our applications and quote forms were tailor-designed to capture the information necessary for us to offer our best carriers and most aggressive pricing terms. Hit ratios and pricing are generally improved when we have all of the data requested upon our quote forms and applications. |
Property & Casualty
To Top
|
(Base requirements)
Fully completed application which is to include:
Legal Name Mailing Address
# years of experience
# years in business
# years owned this property
Description of operations
Loss Summary - Three years
Details of all losses
Current & prior Carrier information
Target premium
Limits
Deductibles
Additional Remarks
Any other entities owned |
Property:
(Base requirements) +
Complete description of occupancy of building
Residential properties: any student, elderly or subsidized housing
Perils desired
Age of building
When updates completed
Protection devices: smoke alarms, extinguishers, automatic extinguishing
systems, central station alarms,
sprinkler systems
Co-insurance percentage
Deductible desired |
Inland Marine:
(Base requirements) +
Completed schedule of equipment
Model year of each item
Where stored when not in use
Protections provided at job site
How transported to job sites |
General Liability:
(Base requirements) +
Complete description of operations
Payroll & Gross Receipts
Any use of Subcontractors
Cost of Subcontractors
Additional Insureds - what is their interest
Trucking risks - need commodities hauled
Contractors - any roofing exposures plus details as to type of work being
done
Storage/Warehouse exposures - types of items stored |
Umbrella / Excess General Liability:
(Base requirements) +
Underlying carrier name
Limits of underlying policies
Premiums of underlying policies
5 years hard copy loss runs
Details of all losses in excess of $10,000
Annual Payroll & Gross Receipts information
Completed vehicle schedule including commodities hauled & radius of
operations |
Garage:
(Base requirements) +
Driver schedule (current) including family members
Date of Birth (each driver)
# years experience (each driver/mechanic)
Accident / Violation History - 3 years (each driver)
Radius of operation
How vehicles transported
Job duties of each driver including whether full or part time
Any repair operations on vehicles of others
Any rebuilding of vehicles
Frame straightening exposures
Lot protection - all sides
How plates stored
# and types of plates
Towing exposures - for hire or not for hire |
Workers Compensation:
# full time & part time employees for each code
Experience modifier (if eligible)
States of operation
Fully Completed Census |
|
