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Thank you for your interest in receiving a quote from Policy People Insurance Group. This form should only take about 5-10 minutes to complete. Don't worry if you don't have everything. You can always click the "Save and continue later" button below. We'll email you a private link to pick up where you left off.

When do you want the policy, or policies, to start?*

MM slash DD slash YYYY

What types of business insurance are you looking for?*

Check all that apply.

Garage & Auto Dealers Coverage For auto repair shops, dealerships, or businesses that work on, store, or sell vehicles.

General Liability Covers injuries or property damage you might cause to others (slip-and-fall, etc.).

Professional Liability (E&O) Protects you if you're accused of making a mistake in your professional work (advice, consulting, services, etc.).

Workers’ Compensation Required in most states if you have employees—covers medical bills and lost wages after work-related injuries.

Property (Building coverage, contents, etc.)

Commercial Auto Covers vehicles used for business—owned or leased by your company.

Cyber Liability Protects against data breaches, hacks, and cyberattacks.

Tools or Equipment Coverage (Inland Marine / Equipment Floater) Covers tools and equipment you take to job sites or move around—especially useful for contractors.

Trucking Coverage For long-haul, short-haul, or freight-based trucking operations.

Something Else / Not Sure Let us know if you’re not sure or don’t see your situation here—we’ll help you figure it out.

Other type of insurance*

Primary Insured Name*

First Last

Insured Date of Birth*

Month

Day

Year

Email*

Work Phone

Mobile Phone*

Can we text you?*

Yes

Consent is not required as a condition of purchase. Message frequency will vary. Message and data rates may apply. Reply HELP for help or STOP to cancel. Privacy Policy.

How were you referred to us?

Business Information

Legal Business Name*

DBA

Entity Type*

FEIN

Website

Business Address*

Street Address City State Zipcode

Mailing Address*

Same as Business Address

Street Address City State Zipcode

Year Business Started*

Years of experience operating this business?*

Years of experience in this field?*

Is this business affiliated with a franchise?

Yes

Number of Owners

Additional Business Owners

Owner 2

2. Owner Name*

First Last

2. Owner Date of Birth*

Month

Day

Year

2. Owner Phone

2. Owner Email

2. Owner Role

Owner 3

3. Owner Name*

First Last

3. Owner Date of Birth*

Month

Day

Year

3. Owner Phone

3. Owner Email

3. Owner Role

Owner 4

4. Owner Name*

First Last

4. Owner Date of Birth*

Month

Day

Year

4. Owner Phone

4. Owner Email

4. Owner Role

Vehicles

Number of Vehicles*

If you have more than 5️⃣ AND/OR would rather upload your excel vehicles list, enter "6️⃣➕" here and simply attach the list. The list should include year, make, model, VIN#'s, value, and garaging zip code.

Are all vehicles garaged at the business address?*

Yes

Are all vehicles titled in the name of the business?*

Yes

Vehicles List Upload*

The list should include year, make, model, VIN#'s, value, and garaging zip code.

Drop files here or

Max. file size: 20 MB.

Vehicle 1

1. Year*

1. Make*

1. Model*

1. VIN*

1. Gross Vehicle Weight

1. Radius of Travel

1. Garaging Zip*

1. Collision Deductible

1. Comprehensive Deductible

1. Does this vehicle have permanently attached equipment?*

Yes

1. Value of vehicle including attached equipment*

Vehicle 2

2. Year*

2. Make*

2. Model*

2. VIN*

2. Gross Vehicle Weight

2. Radius of Travel

2. Garaging Zip*

2. Collision Deductible

2. Comprehensive Deductible

2. Does this vehicle have permanently attached equipment?*

Yes

2. Value of vehicle including attached equipment*

Vehicle 3

3. Year*

3. Make*

3. Model*

3. VIN*

3. Gross Vehicle Weight

3. Radius of Travel

3. Garaging Zip*

3. Collision Deductible

3. Comprehensive Deductible

3. Does this vehicle have permanently attached equipment?*

Yes

3. Value of vehicle including attached equipment*

Vehicle 4

4. Year*

4. Make*

4. Model*

4. VIN*

4. Gross Vehicle Weight

4. Radius of Travel

4. Garaging Zip*

4. Collision Deductible

4. Comprehensive Deductible

4. Does this vehicle have permanently attached equipment?*

Yes

4. Value of vehicle including attached equipment*

Vehicle 5

5. Year*

5. Make*

5. Model*

5. VIN*

5. Gross Vehicle Weight

5. Radius of Travel

5. Garaging Zip*

5. Collision Deductible

5. Comprehensive Deductible

5. Does this vehicle have permanently attached equipment?*

Yes

5. Value of vehicle including attached equipment*

Drivers

Primary Insured: Drivers License Number*

Primary Insured: Drivers License State*

Commercial License? (CDL)

Yes

Year CDL Issued

Number of Additional Drivers*

If you have more than 5️⃣ additional drivers AND/OR would rather upload your excel drivers list, enter "6️⃣➕" here and simply attach the list. The list should contain First, Middle, Last names, Date of Birth, Drivers License #, State, CDL Year (If Applicable), AND Date of Hire for ALL additional drivers.

Drivers List Upload

The list should contain First, Middle, Last names, Date of Birth, Drivers License #, State, CDL Year (If Applicable), AND Date of Hire for ALL additional drivers.

Drop files here or

Max. file size: 20 MB.

Let's add 5 of your additional drivers next.

Do any of your drivers take the vehicle(s) home at night?*

Yes

Driver 2

2. Name*

First Last

2. Date of Birth*

Month

Day

Year

2. Drivers License #*

2. Drivers License State*

2. Commercial License? (CDL)

Yes

2. Year CDL Issued

2. Hire Date

Month

Day

Year

Driver 3

3. Name*

First Last

3. Date of Birth*

Month

Day

Year

3. Drivers License #*

3. Drivers License State*

3. Commercial License? (CDL)

Yes

3. Year CDL Issued

3. Hire Date

Month

Day

Year

Driver 4

4. Name*

First Last

4. Date of Birth*

Month

Day

Year

4. Drivers License #*

4. Drivers License State*

4. Commercial License? (CDL)

Yes

4. Year CDL Issued

4. Hire Date

Month

Day

Year

Driver 5

5. Name*

First Last

5. Date of Birth*

Month

Day

Year

5. Drivers License State*

5. Drivers License #*

5. Commercial License? (CDL)

Yes

5. Year CDL Issued

5. Hire Date

Month

Day

Year

Driver 6

6. Name*

First Last

6. Date of Birth*

Month

Day

Year

6. Drivers License State*

6. Drivers License #*

6. Commercial License? (CDL)

Yes

6. Year CDL Issued

6. Hire Date

Month

Day

Year

Underwriting

Do you have a DOT #?*

Yes

Not yet, in process

DOT#*

Do you have an MC #?*

Yes

Not yet, in process

MC#*

Projected annual mileage*

Number of Trailers to insure

What coverages are you looking to have in place?*

Check all that apply

Auto Liability

Physical Damage

Cargo

General Liability

Bobtail

Non-Trucking Liability

Umbrella / Excess

Commercial Property / Premises

Occupational Accident

Workers Comp

Hired / Non-Owned Auto

What are the minimum years of CDL experience required for drivers?

What are the maximum Daily and Weekly driving hours for each driver?

How are drivers paid?*

Hourly

Salary

By Trip

By Mile

Other

Which of the following is part of your driver screening/hiring process?*

Employment Background Check

Criminal Background Check

MVR Review

Behavioral / Integrity Test

Pre-Employment Drug Test

Road Test

Pre-Employment Screening Program (PSP) report for FMCSA

Check all that apply

In the past 5 years have you, or any driver, been convicted of any of the following?

Check all that apply

Leaving the scene of an accident / hit and run

Felony conviction involving a motor vehicle

Driving while license suspended or revoked

DUI or DWI

Negligent Homicide

Unlawful use of vehicle

Speed contest or racing

Reckless Driving

Speeding 20mph+ over the limit

Name, conviction, date, and details

Are drivers covered by workers comp?*

Yes

Do you haul for hire?*

Yes

Do you Barter Hire or Lease any drivers or vehicles out for others to use?*

Yes

Which party provides primary auto liability coverage?*

My Business

Other Party's Business

Do you Barter Hire or Lease any drivers or vehicles to haul under your authority?*

Yes

Are owner-operators subject to the same hiring, training, and equipment maintenance standards as company drivers?*

Yes

On what basis are vehicles and drivers leased?*

Permanent

Temporary / Trip Basis

Do you require and get evidence that leased vehicles owners purchase non-trucking liability?*

We will need a copy of the lease agreement

Yes

Does your company allow any of the following practices?

Check all that apply

Deadheading

Trailer Spotting

Double and/or Triple Trailer Hauling

Team Driving

Slip Seat / Relay Drivers

Non-Employee Passengers

All drivers to bring vehicles home

Underwriting Continued

Do you need Federal Filings*

Yes

Note: For Federal Filings, an MCS 90 Endorsement is needed too.

Do you need State Filings?*

Yes

State(s) and Permit #s*

Is any part of your operation seasonal?

Yes

Does vehicle(s) have an ELD installed?

Yes

ELD Provider

What state(s) does your business operate in?

What are the 3 largest cities you enter?

Does your business provide any of the following general services?*

Storage

Loading / Unloading

Packing / Crating

Rigging

Decking / Tarping / Blanket Wrapping Freight

Delivery / Installation Services

Garaging

Vehicle and Equipment Repair

Commercial or Residential Moving Services

Does your business generate revenue from any services other than trucking for hire?*

Yes

Please explain other revenue generated*

Have you ever changed your operating name?*

Yes

Please list previous operating names

Do you operate under any other names currently?*

Yes

Please list other current operating names

Do you operate as a subsidiary of another company?*

Yes

Have you purchased, sold, or applied for authority over the past 3 years?*

Yes

Have you ever lost, or had authority withdrawn, or have been/are under probation by any regulatory authority? (FHWA, PUC, etc.)*

Yes

Do you agree to report all newly hired operators?*

Yes

Do you agree to report all newly purchased or leased equipment?*

Yes

Underwriting Continued

What is your total annual sales/revenue? (Gross)*

Owner payroll*

Do you have employee(s)?*

Yes

Number of employees*

Estimated annual payroll*

Do you lease your employees?*

Yes

Do you use any subcontractors? (1099s)*

Yes

Number of subcontractors*

Subcontractor annual payroll*

What type of work do your subs perform?*

Do you have a written contract with your subs requiring them to name your business as Additional Insured and show proof every year?*

Yes

Not yet

Building and Property Information

Please select the option that best describes how building #1 is used:*

I own the building and run my business from it. (Owner-occupied)

I own the building and rent it out to other businesses. (Landlord / Lessor’s Risk)

I rent space in this building for my business. (Tenant-occupied)

I work from home in a home office.

The building is currently vacant. (No business is operating inside right now)

Mix of CURRENT tenants*

Professional Offices (e.g., law, accounting, consulting)

Medical or Dental Offices

Retail (clothing, books, electronics, etc.)

Personal Services (salon, barber, tailor)

Cafes / Coffee Shops (non-alcoholic)

Fitness Studios (yoga, pilates, personal training – no weights over 50 lbs)

Educational (tutoring centers, preschools, training schools)

Restaurants – No Alcohol

Restaurants – With Alcohol

Daycare Centers (licensed)

Pharmacies (no compounding)

Pet Services (grooming, retail – no boarding)

Pet Boarding / Kennels

Convenience Stores (no fuel sales)

Gas Stations

Liquor Stores

Tattoo / Piercing Shops

Vape Shops / Smoke Shops

Auto Parts Retail

Massage Parlors (licensed only)

Dry Cleaners (on-premise cleaning)

Appliance or Furniture Stores

Thrift Stores / Secondhand Goods

Bars / Taverns / Lounges

Nightclubs or Hookah Lounges

Cannabis Dispensaries (licensed or otherwise)

Pawn Shops

Adult Entertainment or Retail

Gun Stores / Firearms Sales

Auto Repair/Maintenance or Body Shops

Car Washes

Manufacturing / Fabrication Tenants

Warehousing / Storage (non-owner occupied)

Event Venues / Banquet Halls

Other

Check all that apply

Explain "Other" Tenant Type*

Do you need coverage for the building?*

Yes

Have you made any tenant improvements?*

Yes

In the future

How much tenant improvement coverage do you need?

Square footage of your business*

Do you have more than 1 business location?*

Yes

Year Built*

Number of stories of the building*

Construction Type*

Roof Type*

Other construction type*

Other roof type*

Has there been any updates to the roof, plumbing, or electrical?*

Yes

I don't know

Year Roof Updated?

Year Plumbing Updated?

Year Electrical Updated?

Sprinklered (Y/N)?*

Yes

Partially Sprinklered

Additional Location(s)

Please select the option that best describes how building #2 is used:*

I own the building and run my business from it. (Owner-occupied)

I own the building and rent it out to other businesses. (Landlord / Lessor’s Risk)

I rent space in this building for my business. (Tenant-occupied)

I work from home in a home office.

The building is currently vacant. (No business is operating inside right now)

Location 2: Address*

Street Address Address Line 2 City State ZIP Code

Location 2: Square Feet

Add 3rd Location

Yes

Please select the option that best describes how building #3 is used:*

I own the building and run my business from it. (Owner-occupied)

I own the building and rent it out to other businesses. (Landlord / Lessor’s Risk)

I rent space in this building for my business. (Tenant-occupied)

I work from home in a home office.

The building is currently vacant. (No business is operating inside right now)

Location 3: Address*

Street Address Address Line 2 City State ZIP Code

Location 3: Square Feet

Business Description

Please describe the nature of your business*

Customer Data

What type of customer data do you store?*

Do you store date from third parties?*

What security policies do you use?*

Which industry standards do you comply with?*

I don't know

PCI/DSS

NIST CSF

SOC 1/2

ISO 27001/2

ISO 8000/1

GDPR

HIPAA

FINRA

FDIC

HITECH

Other

None

Other industry standard*

Who manages your cybersecurity?*

Internal employee

External consultant

None

Do you encrypt all stored or accessed personal data?*

Yes

I don't know

How often do you backup your data*

Daily

Weekly

Monthly

Infrequently

None

I don't know

How long do you retain those backups?*

30 days or more

2 - 30 days

1 day or less

Manufacturing

Is there any manufacturing, mixing, re-labeling, or repackaging of products?*

Yes

Please describe

Claims Information

Have you had any claims or losses in the last 5 years?*

Yes

What was the date, amount paid, and description of each loss or claim*

Current Insurance

Has your business been cancelled or non-renewed in the last 5 years?*

Yes

Insurance cancelled or non-renewed: Please describe when and why

Have you ever filed for bankruptcy?*

Yes

Bankruptcy: Please describe when and why*

Do you have ANY business insurance currently?*

Yes

Name of current insurance carrier?*

Expiration date of current policy*

Month

Day

Year

Why are you looking for a new quote?

Current total insurance premium?

Please Upload Copies of Your Current Policies

This helps us make sure we’re comparing apples to apples when quoting your coverage. Why we ask for it: 1️⃣ To match or improve your current coverage limits and options. 2️⃣ To spot gaps, overlaps, or missing coverages you may not know about. 3️⃣ To see if you’re paying for things you don’t actually need. 4️⃣ To help you avoid coverage surprises at claim time. 💡 We’re not here to sell you something you don’t need—we’re here to make sure you’re properly covered at a competitive rate.

Drop files here or

Accepted file types: pdf, Max. file size: 5 MB, Max. files: 10.

Liability Limits (Optional)

What is the Liability limit requested?

Do you need any Business Personal Property coverage?*

Coverage for the stuff inside your building—like furniture, equipment, and inventory—if it’s damaged or stolen.

Yes

Not sure, let's discuss

How much Business Personal Property coverage do you want?

Are you interested in Loss of Use / Business Income coverage?*

Coverage for lost income and ongoing expenses if your business can’t operate due to a covered disaster—like a fire or storm.

Yes

Not sure, let's discuss

Garage & Dealers Information

What types of vehicles you service, repair, or sell?*

Select all that apply

Private Passenger

Motorhomes

Motorcycles

Utility Trailers

Commercial Trucks

Commercial Trailers

Other

Other vehicles*

What is the total amount of coverage for other people's vehicles would you like?*

Example: If you have 20 vehicles at any one time and each vehicle has an average value of $25,000 then you would want $500,000 in coverage.

What parts and accessories do you sell over the counter?

None

New Parts

Used Parts

Exterior/Interior Trim

Apparel

Estimated annual over the counter sales

What are your security practices?*

3-Part Ticket

Key Cabinet

Protected Lot

None

Where do you store customer's vehicles?*

In Building

Fenced Area

Open Lot

Where do you store keys to customer's vehicles?*

Key Cabinet

In/On the Vehicle

Other

Please describe Other key storage location*

Do you tow for hire?*

Yes

Garage & Dealers Information

List the percentage of the work you provide for each section below.

Where work is performed. Total must equal 100%.

Percent of work performed at Your Shop

% at Your Shop

Percent of work performed at Customer's Location

% at Customer's Location

Percent of work performed at Other

% Other

Please describe Other Location

Type(s) of work performed (in percent). Total must equal 100%.

Type of Work: Body/Paint

% Body/Paint

Type of Work: Brakes, Transmission or Suspension

% Brakes, Transmission or Suspension

Type of Work: Electrical

% Electrical

Type of Work: Mechanical

% Mechanical

Type of Work: Muffler/Radiator

% Muffler/Radiator

Type of Work: Oil Change

% Oil Change

Type of Work: Roadside Assistance

% Roadside Assistance

Type of Work: Safety Inspection

% Safety Inspection

Type of Work: Tires/Wheels

% Tires/Wheels

Type of Work: Tune Up

% Tune Up

Type of Work: Wash/Detail

% Wash/Detail

Type of Work: Welding

% Welding

Type of Work: Other

% Other (Upholstery, frame work, body work, window tint, windows, cleaning trailer, stereo system, etc.)

Please describe Welding type of work performed*

Please describe Other type of work performed*

Do you provide any off-site services or mobile services?*

Yes

What is the maximum miles away from your business that you offer your services?*

Dealer Sales Questions

How many Dealer Plates do you have?*

Number of Repairer/Transporter plates owned by you?

Number of vehicles sold annually*

Number held for sale (Average #)*

Number held for sale (Maximum #)*

Number of vehicles sold on internet auction

Number of vehicles sold on consignment

Do you sell "salvage titled" vehicles?*

Yes

Yes: How much structural repair done?*

Additional Insured Information (Optional)

Do you have anyone that needs to be listed as Additional Insured?

Yes

Additional Insured Information. (i.e. Name & Address)

Alternatively, you may upload your additional insured documents using the upload field below.

Additional Insured Document(s)

You may upload up to 10 PDF documents. If you have more documents you can send them to your agent after they contact you.

Drop files here or

Accepted file types: pdf, Max. file size: 20 MB, Max. files: 10.

Additional Comments and/or Misc Document Upload (Optional)

Any additional comments

Any Additional Documents

Drop files here or

Accepted file types: pdf, Max. file size: 8 MB, Max. files: 5.

Wrapping Up

What is the best time to call and discuss your quote?*

Morning

Afternoon

Evening

Anytime

Other

Please specify the best time to call*

Would you like a quote from a specific agent?

Consent*

Like most insurance agencies, we use information from you and other sources, such as your driving and claims histories, insurance score, and other factors to calculate an accurate rate for your insurance. New or updated information may be used to calculate your renewal premium.

I Agree

All the above information is accurate and true to the best of my knowledge.*

Yes

Would you like to create a user account to manage your submissions?*

Yes, create my account

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Name

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Policy People Insurance Group

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Commercial Auto Quote

Business Information

Additional Business Owners

Owner 2

Owner 3

Owner 4

Vehicles

Vehicle 1

Vehicle 2

Vehicle 3

Vehicle 4

Vehicle 5

Drivers

Driver 2

Driver 3

Driver 4

Driver 5

Driver 6

Underwriting

Underwriting Continued

Underwriting Continued

Building and Property Information

Additional Location(s)

Business Description

Customer Data

Manufacturing

Claims Information

Current Insurance

Liability Limits (Optional)

Garage & Dealers Information

Garage & Dealers Information

Dealer Sales Questions

Additional Insured Information (Optional)

Additional Comments and/or Misc Document Upload (Optional)

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