Online Commercial Automobile Insurance Quotation

Welcome to our online commercial automobile quote page. Please take a few minutes to fill out the questionnaire below, submit and we will e-mail back your free quotation within 24 hrs. Please complete all of the following information fields so that we are able to provide you with an accurate quotation.

Note: All fields must be complete in order to process your quotation, except for those fields or sections marked as "optional".

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Company Name:
First Name:
Last Name:
Email Address:
Daytime Phone:
City:
Postal Code:
Business Type:
Ref by:
Policy Information
Do you have a current commercial auto policy? Yes No Date Coverage Required:
Name of Current or Most Recent Insurer:
Policy Renewal Date or Date Last Insured:
Policy Cancelled in the last 3 years: Yes No If yes, state reason and date:
Vehicle #1 Information
Registered Name for Vehicle: Personal Name Company Name
Year:
Make:
Model:
Body Type:		2-Door Convertible 4-Door St Wagon Pickup Van Other
Date of Vehicle Purchase:
VIN#:		(optional)
Weight of Vehicle: More than 4500kg Less than 4500kg
List Price New:
Is Vehicle: Owned Leased
Any Business Use in U.S.? Yes No Percentage of use in U.S.: %
Please Describe Main Usage for Vehicle:
Liability Limit: 200,000 500,000 1,000,000 2,000,000
Collision Deductible: 300 500 1,000 2,500 5,000
Comprehensive Deductible: 300 500 1,000 2,500 5,000
Loss of Use: Yes No
Limited Waiver of Depreciation: Yes No
Legal Liability For Non-Owned Vehicles: Yes No
List Machinery & Equipment: Description: Year Manufactured: Value: Description: Year Manufactured: Value: Description: Year Manufactured: Value:
Haul any trailers: Yes No Use of Trailer: Trailer Type: Trailer Year: Trailer Make: Trailer Model: Trailer Value:
Please list the merchandise carried:
Are goods carried for compensation: Yes No If yes, is a contract in place: Yes No
Hauling for others: Never Daily Weekly Is a contract in place: Yes No
Radius of Operations: Normal Radius: Distance one way (kms): % of total trips: Maximum Radius: Distance one way (kms): % of total trips: Number of trips per month outside of radius: Destinations Travelled to: (Cities, Provinces)
Garaged Location of Vehicle:
Vehicle #2 Information (optional)
Registered Name for Vehicle: Personal Name Company Name
Year:
Make:
Model:
Body Type:		2-Door Convertible 4-Door St Wagon Pickup Van Other
Date of Vehicle Purchase:
VIN#:
Weight of Vehicle: More than 4500kg Less than 4500kg
List Price New:
Is Vehicle: Owned Leased
Any Business Use in U.S.? Yes No Percentage of use in U.S.: %
Please Describe Main Usage for Vehicle:
Liability Limit: 200,000 500,000 1,000,000 2,000,000
Collision Deductible: 300 500 1,000 2,500 5,000
Comprehensive Deductible: 300 500 1,000 2,500 5,000
Loss of Use: Yes No
Limited Waiver of Depreciation: Yes No
Legal Liability For Non-Owned Vehicles: Yes No
List Machinery & Equipment: Description: Year Manufactured: Value: Description: Year Manufactured: Value: Description: Year Manufactured: Value:
Haul any trailers: Yes No Use of Trailer: Trailer Type: Trailer Year: Trailer Make: Trailer Model: Trailer Value:
Please list the merchandise carried:
Are goods carried for compensation: Yes No If yes, is a contract in place: Yes No
Hauling for others: Never Daily Weekly Is a contract in place: Yes No
Radius of Operations: Normal Radius: Distance one way (kms): % of total trips: Maximum Radius: Distance one way (kms): % of total trips: Number of trips per month outside of radius: Destinations Travelled to: (Cities, Provinces)
Garaged Location of Vehicle:
Vehicle #3 Information (optional)
Registered Name for Vehicle: Personal Name Company Name
Year:
Make:
Model:
Body Type:		2-Door Convertible 4-Door St Wagon Pickup Van Other
Date of Vehicle Purchase:
VIN#:
Weight of Vehicle: More than 4500kg Less than 4500kg
List Price New:
Is Vehicle: Owned Leased
Any Business Use in U.S.? Yes No Percentage of use in U.S.: %
Please Describe Main Usage for Vehicle:
Liability Limit: 200,000 500,000 1,000,000 2,000,000
Collision Deductible: 300 500 1,000 2,500 5,000
Comprehensive Deductible: 300 500 1,000 2,500 5,000
Loss of Use: Yes No
Limited Waiver of Depreciation: Yes No
Legal Liability For Non-Owned Vehicles: Yes No
List Machinery & Equipment: Description: Year Manufactured: Value: Description: Year Manufactured: Value: Description: Year Manufactured: Value:
Haul any trailers: Yes No Use of Trailer: Trailer Type: Trailer Year: Trailer Make: Trailer Model: Trailer Value:
Please list the merchandise carried:
Are goods carried for compensation: Yes No If yes, is a contract in place: Yes No
Hauling for others: Never Daily Weekly Is a contract in place: Yes No
Radius of Operations: Normal Radius: Distance one way (kms): % of total trips: Maximum Radius: Distance one way (kms): % of total trips: Number of trips per month outside of radius: Destinations Travelled to: (Cities, Provinces)
Garaged Location of Vehicle:
Driver #1 Information:
First Name:
Last Name:
Age of Driver:
Gender: Male Female
Drives which vehicle: Vehicle #1 Vehicle #2 Vehicle #3
Percentage of use of this vehicle: Please note overall vehicle use must equal 100% accounting for all drivers.
How Long Licensed:
Previous Commercial Experience: None 1 year 2 years 3 years 4 years 5 years 6 years More than 6 years
Number of years experienced driving listed vehicle or similar type of vehicle:
License Dates:		All fields below are required. If not applicable, please check the N/A field. G (yyyy/mm) N/A G2 (yyyy/mm) N/A G1 (yyyy/mm) N/A A (yyyy/mm) N/A AZ (yyyy/mm) N/A Other Class Type: Date: (yyyy/mm)
Approved Driver's Training: Yes No
Consecutively insured for: None 1 year 2 years 3 years 4 years 5 years 6 years 7+ years
Minor Convictions in the past 3 years: Yes No If yes, provide dates and types:
Major Violations in the past 3 years: Yes No If yes, provide dates and types:
Claims in the past 6 years: Yes No If yes provide details on all claims (collision, comprehensive and glass claims):
License Suspension in the past 6 years: Yes No If yes, provide details why your license was suspended, date of the suspension and date of reinstatement:
Cancellations for Non-Payment in the past 6 years: Yes No If yes, provide details when cancelled and dates:
Driver #2 Information: (optional)
First Name:
Last Name:
Age of Driver:
Gender: Male Female
Drives which vehicle: Vehicle #1 Vehicle #2 Vehicle #3
Percentage of use: Please note overall vehicle use must equal 100% accounting for all drivers.
How Long Licensed:
Previous Commercial Experience: None 1 year 2 years 3 years 4 years 5 years 6 years More than 6 years
Number of years experienced driving listed vehicle or similar type of vehicle:
License Dates:		All fields below are required. If not applicable, please check the N/A field. G (yyyy/mm) N/A G2 (yyyy/mm) N/A G1 (yyyy/mm) N/A A (yyyy/mm) N/A AZ (yyyy/mm) N/A Other Class Type: Date: (yyyy/mm)
Approved Driver's Training: Yes No
Consecutively insured for: None 1 year 2 years 3 years 4 years 5 years 6 years 7+ years
Minor Convictions in the past 3 years: Yes No If yes, provide dates and types:
Major Violations in the past 3 years: Yes No If yes, provide dates and types:
Claims in the past 6 years: Yes No If yes provide details on all claims (collision, comprehensive and glass claims):
License Suspension in the past 6 years: Yes No If yes, provide details why your license was suspended, date of the suspension and date of reinstatement:
Cancellations for Non-Payment in the past 6 years: Yes No If yes, provide details when cancelled and dates:
Driver #3 Information: (optional)
First Name:
Last Name:
Age of Driver:
Gender: Male Female
Drives which vehicle: Vehicle #1 Vehicle #2 Vehicle #3
Percentage of use: Please note overall vehicle use must equal 100% accounting for all drivers.
How Long Licensed:
Previous Commercial Experience: None 1 year 2 years 3 years 4 years 5 years 6 years More than 6 years
Number of years experienced driving listed vehicle or similar type of vehicle:
License Dates:		G (yyyy/mm) N/A G2 (yyyy/mm) N/A G1 (yyyy/mm) N/A A (yyyy/mm) N/A AZ (yyyy/mm) N/A Other Class Type: Date: (yyyy/mm)
Approved Driver's Training: Yes No
Consecutively insured for: None 1 year 2 years 3 years 4 years 5 years 6 years 7+ years
Minor Convictions in the past 3 years: Yes No If yes, provide dates and types:
Major Violations in the past 3 years: Yes No If yes, provide dates and types:
Claims in the past 6 years: Yes No If yes provide details on all claims (collision, comprehensive and glass claims):
License Suspension in the past 6 years: Yes No If yes, provide details why your license was suspended, date of the suspension and date of reinstatement:
Cancellations for Non-Payment in the past 6 years: Yes No If yes, provide details when cancelled and dates:
Additional Comments/Information: