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)

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MOTOR VEHICLE REPORT 

must be within 90 days of coverage inception date

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5 YEAR HARD COPY LOSS RUNS - valued within 90 days of coverage inception date 

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5 YEAR PREMIUM HISTORY 

 

To establish Loss Ratio (include Historical Unit Count)

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COPIES OF REGISTRATION 

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NARRATIVE ON LOSSES > 50K

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TARGET PREMIUM 

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COPY OF SAMPLE CONTRACTS (if any)

 

MOST RECENT 2 YEAR FINANCIALS or TAX RETURNS

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INVOICES FOR CAMERA'S AND/OR ELECTRONIC DEVICES (ELD) 

 

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DashCam Programs are available with our preferred vendor.