Completed Signed Application
Limit Requested
Target Premium
Expiring Premium
Description of Operations
Schedule of Locations
Job List
Underlying GL Carrier, Limit, Premium, Deductible, Term
GL ISO Classification
Underlying AL Carrier, Limit, Premium, Deductible, Term
EL Limits (minimum of $500/$500/$500 is required)
Current and Projected Sales
Current and Project Payroll
Historical Sales and Payroll
Fleet Summary (total by PPT, Light, Medium, Heavy, Extra Heavy)
Radius of operations for trucks
5+ years of AL and GL Loss Summary (total incurred per year)
Description of all losses excess of $25,000
(Some carriers are now requiring hard copy loss runs)
Financials
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