Blue Cross

For more information on Blue Cross Healthcare Insurance Click Here, you can also Apply Online
Authorized Agent for Blue Cross Of California

Blue Shield

For more information on Blue Shield of California Healthcare Insurance
 Click Here, you can also Apply Online

Authorized Agent for Blue Shield Of California

Travel Guard

The World’s leading Travel Insurance Provider.
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Online Traffic School


With this offer you will get 5% discount on all courses.

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Commercial Auto Quote Request                * Indicates required information

 * # of vehicles:


 * Make, Model, Year, and ownership of all vehicles to be insured
(example: 1996 Chevy Express 2500 leased):


 * Zip code(s) of where the vehicle is parked at night:


* Number of miles you drive from your location on a regular basis:


* Primary use of the vehicle:



 * Year business started:


 Profit or nonprofit


 What is your business legal entity?


 What industry is your company in?


* How many years of experience does the owner of your business have in your industry?


* Detailed description of the nature of business:



 Are you currently insured?


   Yes No

If yes, what company?


Expiration Date:


What is the approximate amount you pay for commercial auto insurance now?



* How many claims have you filed in the past 3 years?


Name, Birth date, License Number and License State of each driver of the vehicles:
(Example: Joe Smith, 060168, 7865423, CA)


What comprehensive deductible do you want?


What collision deductible do you want?


What limit for Bodily Injury and Property Damage Liability do you want?


* Date or period coverage should start:



* # of Active Owners and/or Partners:


* # of Full Time Employees:


* # of Part Time Employees:


* # of Sub-Contractors:



Other information your agent should know:


* Name of Business:


Our Promise To You:
We will use the information that you have provided here to help you find the best insurance quotes you seek. We will not sell, rent or lease your name, e-mail address, or phone number for any other purpose. The information that you provide will be held in the strictest confidence and not used for any other purpose.

* First Name:


* Last Name:


Address:


* City:


* State:


* Zip:


* Phone:


Fax:


* E-mail



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