Commercial vs. Personal Auto
(Why should I put my vehicles on a Commercial Policy?)

Higher Limits of liability available--- $2,000,000 Can issue Certificate of Insurance Additional coverages available       Employers non-owned auto coverage       Hired auto coverage       Drive other car coverage       Mobile telephone (CB) coverage Loading and unloading is covered Business pursuits is excluded from personal policies Business vehicles can be a target for higher losses, especially with signs on the vehicles We have the "Pro Shop" guarantee, drive-in claims service centers and nationwide claims service We offer free MVR on all new hires Coverage available for Tools and Equipment

 

 

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*Contact Person *E-mail *Company Name *Address *City County State *Zip Code Work Phone FAX Years in business Type of Business Individual Partnership Corporation S.S. Number or FEIN Do you haul for others for Hire?

 

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Location #1 - Address City County *Zip Code Location #2 - Address City County *Zip Code

 

Vehicle Information Year Make & Model Body Type Auto or Truck Tractor/Trailer VIN# GVW Cost New Stated Value Radius of Operation Radius of operation Local (up to 50 Miles) Radius 51 to 200 Miles Radius 200 to 300 Miles Radius 301 to 500 Miles Radius 501 to 750 Miles Radius 750+ Miles Radius of operation Local (up to 50 Miles) Radius 51 to 200 Miles Radius 200 to 300 Miles Radius 301 to 500 Miles Radius 501 to 750 Miles Radius 750+ Miles Radius of operation Local (up to 50 Miles) Radius 51 to 200 Miles Radius 200 to 300 Miles Radius 301 to 500 Miles Radius 501 to 750 Miles Radius 750+ Miles Radius of operation Local (up to 50 Miles) Radius 51 to 200 Miles Radius 200 to 300 Miles Radius 301 to 500 Miles Radius 501 to 750 Miles Radius 750+ Miles Radius of operation Local (up to 50 Miles) Radius 51 to 200 Miles Radius 200 to 300 Miles Radius 301 to 500 Miles Radius 501 to 750 Miles Radius 750+ Miles

 

Vehicle Liability Limits Uninsured Motorist Medical Collision Deductible: Comprehensive Deductible: 1 $100,000 CSL $300,000 CSL $500,000 CSL $750,000 CSL $1,000,000 CSL None $50,000 $100,000 $500,000 $1,000,000 None $1,000 $2,000 $5,000 None $250 $500 $1,000 $2,000 $3,000 None $250 $500 $1,000 $2,000 $3,000 2 $100,000 CSL $300,000 CSL $500,000 CSL $750,000 CSL $1,000,000 CSL None $50,000 $100,000 $500,000 $1,000,000 None $1,000 $2,000 $5,000 None $250 $500 $1,000 $2,000 $3,000 None $250 $500 $1,000 $2,000 $3,000 3 $100,000 CSL $300,000 CSL $500,000 CSL $750,000 CSL $1,000,000 CSL None $50,000 $100,000 $500,000 $1,000,000 None $1,000 $2,000 $5,000 None $250 $500 $1,000 $2,000 $3,000 None $250 $500 $1,000 $2,000 $3,000 4 $100,000 CSL $300,000 CSL $500,000 CSL $750,000 CSL $1,000,000 CSL None $50,000 $100,000 $500,000 $1,000,000 None $1,000 $2,000 $5,000 None $250 $500 $1,000 $2,000 $3,000 None $250 $500 $1,000 $2,000 $3,000 5 $100,000 CSL $300,000 CSL $500,000 CSL $750,000 CSL $1,000,000 CSL None $50,000 $100,000 $500,000 $1,000,000 None $1,000 $2,000 $5,000 None $250 $500 $1,000 $2,000 $3,000 None $250 $500 $1,000 $2,000 $3,000

 

Hired Auto Yes No Employer's Non-Owned Auto Yes No Rentals Yes No

 

Drivers Full Name Date of Birth Marital Status # Yrs Lic'd Sex Drivers License # State Lic'd 1 Select one Single Married M F 2 Select one Single Married M F 3 Select one Single Married M F 4 Select one Single Married M F 5 Select one Single Married M F 6 Select one Single Married M F 7 Select one Single Married M F

 

DR# Date of incident Accident or violation? (A or V) Accident Details (including location and fault) or Violation Type If Accident: Amount Paid Liability Poperty Damage

 

 

*Current Insurance *Expiration Date

 

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