Commercial Insurance

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COMMERCIAL AUTO INSURANCE:

Business Information:

Business Name

EIN

Business Type

Years in Business

Business Address (Street, City, State, Zip)

Industry

Description of Business Operations

Vehicle Details:

Number of Vehicles

Vehicle Types (e.g., (trucks, vans, cars)

Vehicle Uses (e.g., delivery, transportation, construction)

Vehicle ID Numbers (VINs)

Year, Make and Model of Each Vehicle

Estimated Annual Mileage per Vehicle

Driver Information:

Driver Names

Drivers License Numbers

Drivers Ages

Driving History (e.g., accidents, violations)

Number of Drivers

Coverage Needs:

Type of Coverage (e.g., liability, comprehensive, collision)

Desired Coverage Limits (e.g., per accident, per person)

Deductible Amounts

Any Claims in the past 3-5 years?

Additional Coverage Needs (e.g., uninsured motorist, roadside assistance)

Business Operations:

Areas or Routes of Operation

Types of Cargo (if applicable)

Trailer Usage (if applicable)

Safety Measures:

Safety Measures Implemented (e.g., driver training, safety equipment)

Any GPS or Telematics Systems Used

Any Special Considerations or Requirements

Contact Name

Phone Number

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Redline Insurance Agency