Limo insurance from Lancer's LimoDirect

 

Limo Insurance Quote

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Simply provide us with some basic information and we'll start the process to ensure that your
limousines—and professional reputation—are
properly protected. We welcome quotes for mini bus insurance, limo bus insurance and funeral limousine insurance as well as traditional limo insurance.

* required fields

LIMO INSURANCE QUOTE REQUEST

Limo Operator General Information

First Name* :

Last Name* :

Legal Business Name:

Dba:

FEIN (if corporation):

Street Address* :

PO Box:

City* :
State* :
Zip* :
Current Insurance Company:

Garage address (if different)

Street Address:

City:
State:
Zip:
Email:

Cell phone* :

Business phone:

Fax:

How do you wish to be contacted
with your quote?

What is the best time to contact you?

How did you hear about us?

PC1:   PC2:   PC3 :
 

Limo Driver Information

Name
DOB
Driver's
License
Number
Years of
chauffeur experience
Number of
violations in the
last 3 years
Number of
accidents in
the last 3 years
Driver 1
Driver 2
Driver 3
Driver 4
Driver 5

Limo Vehicle Information

Number of vehicles in your operation:
Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5
Year
Make
Model
Color
Stated value
Seating capacity
Vehicle stretched?
Yes  No
Yes  No
Yes  No
Yes  No
Yes  No
If yes,
how long?
If more than 5,we will contact you for more info.
 

Limo Coverages needed

Do you have a current commercial auto policy?:

Yes  No
Please provide expiration date
of your current policy:
/ /
Is your current policy being cancelled?:
Yes  No
If yes please explain:
Liability limit
Physical damage deductible

UM - Statutory limits*
PIP - Statutory limits if applicable*

Do you need General Liability coverage?:

Yes  No
 

Limo Business Information

Year business started:

Estimated mileage per vehicle:

Do you have fare boxes or meters?:

Yes  No
Description of operation: 

airport: %
corporate: %
special occasions (weddings/proms): %
funeral: %
other: - %

List 3 most frequent destinations:
1.
2.
3.
Do you own any other
transportation companies?
Yes  No
If yes please explain:
Loss
History
last
5 years
Dates:
from - to
Company
Number of
accidents
Incurred
losses
 
-
 
-
 
-
 
-
 
-

Currently valued company loss runs will be required.

Is there any additional information you would like to add?

Type the above number:



   
 
  *Higher limits available upon request for UM and PIP.
 
 

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