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Company name:*

Your name:*

Contact info*:

Location info*:

Do you already have a retail insurance agent?

Would you like us to refer you to a local agent?

Are you a wholesale dealer?

What type of business is your dealership?

How many years have you been in business?

How many years of experience do you have in the industry?

Do you currently have garage liability insurance coverage?

Have you experienced any insurance losses in the past?

How many miles of range would you like?

How many locations do you have?

Are more than 20% of your sales motorcycles or RV's?

Desired combined single limit coverage amount

Class I - Employees

Proprietors, partners, and officers active in the business, salespersons, general managers, service managers, and any employee whose principal duty is driving a vehicle or is furnished a vehicle. Includes family members that are employees. These drivers ARE furnished a covered auto.

Class II - sales employees and regular operators not furnished autos

Including Family Members that are also employees. These drivers are NOT furnished a covered auto. Autos are used for dealer business purposes only.

Class II - all other employees not furnished autos

Including Family Members that are also employees. These drivers are NOT furnished a covered auto. Autos are used for dealer business purposes only.

Class III - non- employees

Inactive Proprietors, Partners, or officers and relatives of active or inactive proprietors, partners, or officers who are furnished or who have regular use of the dealer's vehicle. These drivers ARE furnished a covered auto.

Contract drivers

Do you use unscheduled contract drivers?

Number of scheduled contract drivers with their own insurance

Class IV vehicles

Trailer or dolly

Scheduled Auto - Symbol 27

Dealer Plates