Request A Quote
Click the link below for the coverage you
want quoted, for coverage not listed click here to contact
us and one of our
sales agents will contact you in 24 hours or less.
At the bottom of this page are checklists of items by coverage that will be
required by our office prior to binding any coverage. If you have any questions
while you are completing the application or otherwise please feel free to call
us at 1-800-980-1950 ext 4.
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| Online
Application Submissions |
Our online submission applications are in the final
stages of development
and will be available soon.
Please use the PDF format to request quotes.
Thank you for your patience. |
|
Required to Bind Checklists
Note: All forms referenced below can be downloaded
from our forms center by clicking here. |
| Auto
Liability for Taxicabs and Limousines |
1. Copy of vehicle registrations
2. Driving records currently valued for all drivers. We can order for a $10 charge
per record.
3. Five years of currently valued loss runs. We can order if you would like,
please let us know.
4. New companies need a completed Loss History Verification form
5. Completed UM/UIM selection form
6. Name, address, and fax number for all certificate holders |
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| For
All other Auto Liability Quotes |
1. Copy of vehicle registrations
2. Driving records currently valued for all drivers. We can order for a $10 charge
per record.
3. Five years of currently valued loss runs. We can order if you would like,
please let us know.
4. Name, address, and fax number for all certificate holders |
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| For
All Non-Auto Liability |
For
all non-auto liability coverage, we will provide requirements at time of quoting
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