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Garage Quote

 

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Questions
 
LOCATION:
YRS IN Business
TOWN:
COUNTY:
TERR:
DESCRIBE OPERATION
   
EMP. NAME POSITION FULL/PART TIME D O B DRIVING RECORD FURNISHED AUTO

 

NUMBER OF:    
  SERVICE VEHICLES
  WRECKERS
  DEALER TAGS

COVERAGES NEEDED ON SVC VEHICLE:

IF A CAR LOT, IS IT:      
  FENCED
  LIGHTED
  LOCKED
     
     
   

 

IF A BUILDING:    
  HEIGHT
  CONSTRUCTION
  BURG/FIRE ALARM  

 

COVERAGES LIMITS  
LIABILITY (IF DRIVE-A-WAY INCLUDED WHAT RADIUS )
 
MED PAY
   
PIP LIMITS (DEALERS ONLY)
   
UM/UIM LIMITS (DEALERS ONLY)
   
GKLL LIMITS DEDUCTIBLE: PER CAR , PER OCC
HOW MANY CUSTOMERS CARS ON HAND ANY ONE TIME:
   
PHYS DAMAGE DEDUCTIBLE: PER CAR PER OCC
NO. CARS ON LOT AT A.O.T. PER CAR VALUE
   
DRIVE-AWAY LIMITS DEDUCTIBLE RADIUS

 

CURRENT/PRIOR CARRIER:
THREE YEAR LOSS HISTORY:
 

 

 

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