Commercial Trucking and Transportation Insurance Quote

Commercial Auto, General Liability, Cargo, and Workers Comp Insurance Package Quotes for your Business can be complicated, our simple form allows us to rate all of the Amazon required insurance coverages, simply and will allow us to easily assist you in satisfying all of the insurance requirements in one simple survey.

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Business Auto Insurance Quote

Commercial Auto Insurance for a Business can be complicated, our simple form allows us to rate your coverage request simply and easily to assist you in obtaining auto insurance for your business.

Name*

First Last

Full Legal Business Name*

Do you have or use DBA's or Trade Names?*

Enter your DBAs & Trade Names*

Your entity is*

Email*

Phone Number*

Fax Number

Alt Phone Number (cell, home)

Mailing Address*

Street Address City State ZIP Code

Website

What date did your business start?*

MM slash DD slash YYYY

Which class best describes your operation?*

Start typing to narrow down you search

Brief Description of Operations:*

Business Auto Insurance Quote: Vehicle Information

What percent of your work is repossession?*

What percent of your recent work is towing ticketed cars or scofflaws?*

How many vehicles do you have*

VIN

Vehicle 1 Year*

Make*

Model*

How far does this vehicle normally travel?*

0-50 Miles

50-100 Miles

100-250 Miles

250-500 Miles

> 500 Miles

Vehicle Type*

Flatbed - Single Axle

Flatbed - Dual Axle

Wrecker - Single Axle

Wrecker - Dual Axle

Car Carrier - Covered

Car Carrier - Open

Pick Up Truck

Box Truck

Private Passanger

Tractor

Truck Trailer

Van - Cargo

Van - Passenger

Other

How many vehicles does the carrier hold

Vehicle Use

Towing

Commuting

Client Visits

Personal Use

Commercial Use

Hauling Cargo

Gross Vehicle Weight*

Vehicle Safety & Security Discounts*

None

Automatic Seatbelts

Antilock Brakes

Daytime Running Lights

Airbags

Alarm System

GPS Driver Tracking & Monitoring

VIN Etching

Vehicle Recovery System

Cabin Cameras

Select all that apply

On Hook Coverage*

This provides for coverage for physical damage to vehicles that you are towing/flat bedding.

Comprehensive Deductible*

Collision Deductible*

Current Vehicle Value*

VIN

Vehicle 2 Year*

Make*

Model*

How far does this vehicle normally travel?*

0-50 Miles

50-100 Miles

100-250 Miles

250-500 Miles

> 500 Miles

Vehicle Type*

Flatbed - Single Axle

Flatbed - Dual Axle

Wrecker - Single Axle

Wrecker - Dual Axle

Car Carrier - Covered

Car Carrier - Open

Pick Up Truck

Box Truck

Private Passanger

Tractor

Truck Trailer

Van - Cargo

Van - Passenger

Other

How many vehicles does the carrier hold

Vehicle Use

Towing

Commuting

Client Visits

Personal Use

Commercial Use

Hauling Cargo

Gross Vehicle Weight*

Vehicle Safety & Security Discounts*

None

Automatic Seatbelts

Antilock Brakes

Daytime Running Lights

Airbags

Alarm System

GPS Driver Tracking & Monitoring

VIN Etching

Vehicle Recovery System

Cabin Cameras

Select all that apply

Comprehensive Deductible*

Collision Deductible*

Current Vehicle Value*

On Hook Coverage (Cargo)*

VIN

Vehicle 3 Year*

Make*

Model*

How far does this vehicle normally travel?*

0-50 Miles

50-100 Miles

100-250 Miles

250-500 Miles

> 500 Miles

Vehicle Type*

Flatbed - Single Axle

Flatbed - Dual Axle

Wrecker - Single Axle

Wrecker - Dual Axle

Car Carrier - Covered

Car Carrier - Open

Pick Up Truck

Box Truck

Private Passanger

Tractor

Truck Trailer

Van - Cargo

Van - Passenger

Other

How many vehicles does the carrier hold

Vehicle Use

Towing

Commuting

Client Visits

Personal Use

Commercial Use

Hauling Cargo

Gross Vehicle Weight*

Vehicle Safety & Security Discounts*

None

Automatic Seatbelts

Antilock Brakes

Daytime Running Lights

Airbags

Alarm System

GPS Driver Tracking & Monitoring

VIN Etching

Vehicle Recovery System

Cabin Cameras

Select all that apply

Comprehensive Deductible*

Collision Deductible*

Current Vehicle Value*

On Hook Coverage (Cargo)*

VIN

Vehicle 4 Year*

Make*

Model*

How far does this vehicle normally travel?*

0-50 Miles

50-100 Miles

100-250 Miles

250-500 Miles

> 500 Miles

Vehicle Type*

Flatbed - Single Axle

Flatbed - Dual Axle

Wrecker - Single Axle

Wrecker - Dual Axle

Car Carrier - Covered

Car Carrier - Open

Pick Up Truck

Box Truck

Private Passanger

Tractor

Truck Trailer

Van - Cargo

Van - Passenger

Other

How many vehicles does the carrier hold

Vehicle Use

Towing

Commuting

Client Visits

Personal Use

Commercial Use

Hauling Cargo

Gross Vehicle Weight (copy 1)*

Vehicle Safety & Security Discounts*

None

Automatic Seatbelts

Antilock Brakes

Daytime Running Lights

Airbags

Alarm System

GPS Driver Tracking & Monitoring

VIN Etching

Vehicle Recovery System

Cabin Cameras

Select all that apply

Comprehensive Deductible*

Collision Deductible*

Current Vehicle Value (copy 1)*

On Hook Coverage (Cargo)*

VIN

Vehicle 5 Year*

Make*

Model*

How far does this vehicle normally travel?*

0-50 Miles

50-100 Miles

100-250 Miles

250-500 Miles

> 500 Miles

Vehicle Type*

Flatbed - Single Axle

Flatbed - Dual Axle

Wrecker - Single Axle

Wrecker - Dual Axle

Car Carrier - Covered

Car Carrier - Open

Pick Up Truck

Box Truck

Private Passanger

Tractor

Truck Trailer

Van - Cargo

Van - Passenger

Other

How many vehicles does the carrier hold

Vehicle Use

Towing

Commuting

Client Visits

Personal Use

Commercial Use

Hauling Cargo

Gross Vehicle Weight*

Vehicle Safety & Security Discounts*

None

Automatic Seatbelts

Antilock Brakes

Daytime Running Lights

Airbags

Alarm System

GPS Driver Tracking & Monitoring

VIN Etching

Vehicle Recovery System

Cabin Cameras

Select all that apply

Comprehensive Deductible*

Collision Deductible*

Current Vehicle Value*

On Hook Coverage (Cargo)*

Driver Information

How many drivers do you have?*

Driver 1

Name*

First Last

Date of Birth*

MM slash DD slash YYYY

Marital Status*

Years Licensed*

Less than 1 year

1 to 3 years

Greater than 3 years

Driver License Number*

State Licensed In*

Driver Discounts

Commercial Driver License

Defensive Driver

Name Driver 2*

First Last

Date of Birth*

MM slash DD slash YYYY

Marital Status*

Years Licensed*

Less than 1 year

1 to 3 years

Greater than 3 years

Driver License Number*

State Licensed In*

Driver Discounts

Commercial Driver License

Defensive Driver

Name Driver 3*

First Last

Date of Birth*

MM slash DD slash YYYY

Marital Status*

Years Licensed*

Less than 1 year

1 to 3 years

Greater than 3 years

Driver License Number*

State Licensed In*

Driver Discounts

Commercial Driver License

Defensive Driver

Name Driver 4*

First Last

Date of Birth*

MM slash DD slash YYYY

Marital Status*

Years Licensed*

Less than 1 year

1 to 3 years

Greater than 3 years

Driver License Number*

State Licensed In*

Driver Discounts

Commercial Driver License

Defensive Driver

Name Driver 5*

First Last

Date of Birth*

MM slash DD slash YYYY

Marital Status*

Years Licensed*

Less than 1 year

1 to 3 years

Greater than 3 years

Driver License Number*

State Licensed In*

Driver Discounts

Commercial Driver License

Defensive Driver

Name Driver 6*

First Last

Date of Birth*

MM slash DD slash YYYY

Marital Status*

Years Licensed*

Less than 1 year

1 to 3 years

Greater than 3 years

Driver License Number*

State Licensed In*

Driver Discounts

Commercial Driver License

Defensive Driver

Name Driver 7*

First Last

Date of Birth*

MM slash DD slash YYYY

Marital Status*

Years Licensed*

Less than 1 year

1 to 3 years

Greater than 3 years

Driver License Number*

State Licensed In*

Driver Discounts

Commercial Driver License

Defensive Driver

Insurance Claims

List all CLAIMS and ACCIDENTS in the last 3 years - Include all Chargeable or Non-Chargeable

Have you had any claims in the last 5 years?

Yes

Date

MM slash DD slash YYYY

Type of Claim

Claim Amount $

Date

MM slash DD slash YYYY

Type of Claim

Claim Amount $

Date

MM slash DD slash YYYY

Type of Claim

Claim Amount $

Date

MM slash DD slash YYYY

Type of Claim

Claim Amount $

Date

MM slash DD slash YYYY

Type of Claim

Claim Amount $

Date

MM slash DD slash YYYY

Type of Claim

Claim Amount $

Current Insurance Information

Are you or currently or were you previously insured*

Yes

What is the name of your current or prior insurance carrier?*

Do not enter the name of your broker or finance company.

Current insurance expiration date or cancellation date*

MM slash DD slash YYYY

Current or prior ANNUAL insurance premium*

How long have you had a continuous commercial auto insurance policy?*

Why are you looking to change insurance carriers?

Don't like the insurance agent.

Don't like the insurance company.

I was non-renewed.

My policy cancelled.

Price.

Service.

Other

Coverage Information

Will you be operating an Amazon Delivery Service Business*

What is your company's Federal Tax ID #

Bodily Injury Liability Coverage Requested*

This provides coverage for bodily injury and property damage

Property Damage Liability Coverage Requested*

This provides coverage for bodily injury and property damage

Do your currently have Workers Comp coverage?*

Yes

Finance Information

Ever filed Bankruptcy or Reorganization*

Yes

Has coverage been Declined, canceled or non-renewed in last 5 years*

Yes

If so, why?

Final Details

How soon do you need this quote*

Date quote needed by

MM slash DD slash YYYY

What date do you need this coverage by?*

MM slash DD slash YYYY

How did you hear about us?

If you were referred, who can we thank with a nice gift?

What other coverages are you interested in?*

General Liability

Garage Keepers Legal Liability

Workers Comp

Disability

Group Health

Employment Practices Liability

Business Property / Tools

Business Income Coverage

Motor Cargo Carrier Coverage

What General Liability Limit do you require?*

What is your gross ANNUAL revenue*

What is your total annual payroll?*

What Workers Comp limits are you requesting?*

How many male employees do you have?*

How many female employees do you have?*

What limit of Motor Cargo Carrier Coverage do you need?*

Amazon Minimum Coverage Requirement is $25,000

Other things I want to tell you that you didn't ask. Additional comments, concerns, circumstances, or coverages you have/want.

This field is for validation purposes and should be left unchanged.

Commercial Trucking and Transportation Insurance Quote

Business Auto Insurance Quote

Business Auto Insurance Quote: Vehicle Information

Driver Information

Driver 1

Insurance Claims

Current Insurance Information

Coverage Information

Finance Information

Final Details

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