
PRODUCER SUBMISSION REQUIREMENTS
Downloadable Forms:
ACORD 125 & ACORD 137
Complete with list of the following:
Drivers
Vehicles with VIN #'s
GVWs
Radius
Description of Operations
FEIN # and Dates of Hire (drivers/vehicle must be submitted in excel format)
MOTOR VEHICLE REPORT
must be within 90 days of coverage inception date
5 YEAR HARD COPY LOSS RUNS - valued within 90 days of coverage inception date
5 YEAR PREMIUM HISTORY
To establish Loss Ratio (include Historical Unit Count)
COPIES OF REGISTRATION
NARRATIVE ON LOSSES > 50K
TARGET PREMIUM
COPY OF SAMPLE CONTRACTS (if any)
MOST RECENT 2 YEAR FINANCIALS or TAX RETURNS
INVOICES FOR CAMERA'S AND/OR ELECTRONIC DEVICES (ELD)
If hosted by another administrator, we will require feed from insured.
DashCam Programs are available with our preferred vendor.