Quote Requirements

All submissions should include the following:

• Acord Application
• New Business PUMP Supplemental
• Bulk Lubricants Supplemental
• Fuel and Oil Dealers Supplemental
• LP Gas Addendum
• Liquor Supplemental
• Tractor Trailer Addendum
• Convenience Store Addendum
• General Liability Classification Supplement
• VIN Numbers (There should be 17 digits)
• Description of operations
• Zip codes (including Zip Codes Garaging Locations on Auto application)
• FEIN, Plate Type and registration number and or copy of vehicle registration in states that require Auto Liability Insurance Reporting
• Driver's List to include: Name, Date of birth, License number, and State
• Statement of Values
• MVR's for all drivers
• Five (5) Year Currently Valued Loss Runs
• General Liability Classification Supplement on accounts with multiple operations

• Forms & Applications