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Commercial Insurance Proposal

We are greatly privileged to be given this chance to quote for your company. We have evaluated the details and we came up with a proposal that is appropriate for your needs. With our aim to help you achieve your desired goals. Please be at liberty to review the proposal and highlight any necessary adjustments. For further question and comments, please feel free to contact us. We are willing to consider your ideas that would enrich us.

    Proposal Date:

    Proposal Expires on

    Insured:

    Company Name :

    Email:

    Phone :

    Address:

    Proposed Policy Effective Date:

    Insurance Carrier(s):

    Company

    Company Rating

    Company

    Company Rating

    Coverage Offered

    Product

    Covered

    Limits Selected

    Auto Liability

    Motor Truck Cargo Dry

    Motor Truck Cargo Reefer

    Physical Damage

    Trailer Interchange

    General Liability

    Towing

    Uninsured/Underinsured Motorist

    Amazon Liability

    UIIA

    Vehicle(s) Details

    Physical Damage Amount:

    Type

    Year

    Make

    VIN

    Value

    Deductible

    Driver(s) Details

    Name of Driver (same as DL)

    Driver License Number

    Issue State

    Expires

    Proposed Payment Details

    Payment Options

    Total Amount Due Prior to Bind

    Total Down Payment Due
    All card transactions is subject to a 3% fee Checks,
    ACH, or e-Checks are not acceptable

    Monthly Payment:

    Total Number of Payments:

    By signing this proposal, you agree that the information listed in this proposal is correct and best to your knowledge.
    IMPORTANT Terms & Conditions:

    1. Policy will be issued only after all agreed payment are processed

    2. In case of early policy cancelation minimum 25% of earnest money be customer responsibility

    3. Cancelation of insurance in mid-term willtake up to 45 days and billing will continue

    4. All return payment will take up to 90 days

    5. Coverage of scheduled policy will be ONLY for those listed in this proposal

    6. For any missing driver or vehicle information that is missing from this quote, you will need to contact
    us for a new updated quote

    7. Credit Card may have additional service fee(s) & surcharge(s)

    Insured Name:

    Signature:

    Date:

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    OFFICE USE ONLY

    Proposal Prepared by:

    Proposal Approved by (Manager):

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