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Snowplow Insurance Request

ABOUT THE OWNER/DRIVER

Business Name (if any):  
Year Business Started:  
First Name:
Last Name:
Address:
City:      
State:
Phone:  
Zip Code:
County:
   
Birthday:
E-mail:
Confirm E-mail:
Home Status:
Gender:
VIN (if available): (17 digits)
  Where can I find my VIN? (pop-up)
Drivers License:  
TAX ID: (if available)  
Status: Single   Married  Widowed

ABOUT THE SNOWPLOW (the truck you use)

  Please provide information about the truck that you use
Year:
Make:
Model:
4x4:
Salvaged Title:
   

GENERAL LIABILITY SECTION OPTIONAL
Complete this if you want General Liability Insurance

   
  What percentange of your gross receipts come from each of the following?
Snowplowing: $ (you can estimate or write none)
Landscaping: $ (you can estimate or write none)
Lawn Maintenance: $ (you can estimate or write none)
Street Sweeping: $ (you can estimate or write none)
   
   
Annual Payroll: $ (you can estimate or write none)
   
What are you plowing?
   
Employees:
   

COMMERCIAL AUTO INSURANCE OPTIONAL
COVERAGE OPTIONS

Liability:
Uninsured Motorist:
  We always quote uninsured motorist coverage, unless specifically instructed not to do so.
Medical Payments:
Coverage Types: Liability Only Quote    Full Coverage
   
Deductibles:
   
VALUE OF VEHICLE:  Value of Vehicle + Plowing Equipment Mounted to It

 $

Antitheft:
   
Current Coverage: If you have insurance, what do you currently pay and with whom? 
   
Do you have a General Liability Policy?
   
Do you have a prior insurance on the snowplow?

 

   
SR-22 filing required  
   
  Please tell us if you have any tickets, DUIs and/or at-fault accidents.  List the dates, types?  We can also go over this information when we call, but it is helpful if you can provide it now.
 
   
  Do you have any additional information, special coverage needs, such as addition insureds) or questions to ask?
 
   
  Did you complete your birthday and zip code? These are crucial to us obtaining an accurate quote. Make sure to check your "junk" or "spam" boxes, as our quotes sometimes go there.  Thank you!
 
 
Snowplow Insurance | Snowplow General Liability Insurance | Snowplow Commercial Auto Insurance
          NO COVERAGE IS BOUND, OFFERED, ISSUED THROUGH THIS ELECTRONIC COMMUNICATION, ALL POLICIES MUST BE UNDERWRITTEN AND APPROVED BY THE CARRIER. DO NOT CANCEL YOUR CURRENT INSURANCE.

Copyright 2011 Stratum Insurance Agency, LLC

 

Are you looking for SNOWMOBILE insurance? 

You can choose to get a quote for commercial auto insurance, general liability insurance, or both!

 

As independent insurance agents and , we can compare quotes from different insurance carriers to help you find a competitive rate

 

 

 

 

 

 

We understand that you may do more than just snowplowing.  In fact, if you are primarily a landscaper and only a portion of your business is snowplowing, you may be eligible for a discount.

 

 

 

Need help?

 

 

If you have multiple drivers, please let us know in the comment box below.