Quick Quote

Garage Liability/Garage-Keepers

*Please Note: You may email any PDF attachments of supporting documents that would be helpful, such as Inspections, Prior or Current Declarations Pages, or Miscellaneous to: nzacapa@myiiu.com

Contact Information

Name

First Name

Last Name

Cell Phone Number

(###)

###

####

Insurance Information

Limits Requested?

Maximum Number of Vehicles

Average Number of Vehicles

Maximum Value of Any One Vehicle

Average Value of Any One Vehicle

Annual Gross Sales

Driver Information

Driver's Name

First Name

Last Name

Driver's License Number

Driver's Date of Birth

YYYY

Additional Drivers' Information

We need the Name, License #, and Date of Birth for any additional drivers.

Insurance Information (Continued)

Would you like to add Business Contents?

(Equipment, Tools, etc.)

If so, how much?

(If applicable)

What is your desired paid premium annually?

$0 is not an option. :-)

Would you like to add an Umbrella?

If so, what are your requested limits?

(If applicable)

Additional Insurances Available

Are you interested in additional insurance? Check off all that apply below:

General Liability

Commercial Property

Commercial Auto Liability (Standard)

Commercial Auto Liability (Truckers, Long Haul & Towing)

Workers Compensation