25329 Interstate 45 N, Suite 101 The Woodlands, TX 77380

1-866-TEXAS-45
(1-866-839-2745)

Our Texas Insurance Policies & Coverages

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Cargo Insurance

 Please provide the following information:

 

Name Of Business: 

Your Name: 

Business Address: 

City:   State:   Zip: 

Email:  URL: 

Phone:   Cell:   FAX: 
Type Of Operation: 
New Venture (yes/no): 
Years In Business and Number of Years Experience:
 


List of Merchandise (Please be specific - i.e. describe general freight- paper products, 
canned goods, pallets, etc.): 

Limit Per Unit:

How will the Merchandise be packed: Boxes Crates Drums

Number Of Power Units:

List Description of All Power Units:

List Name and Age of All Drivers:

List all Tickets and Accidents:

 

Destination of Shipments - Radius Of Operations:

Is the Merchandise being shipped in Containers? Yes No

Losses (Last 5 years):

Describe types of losses during past 5 years:

Have you ever been cancelled/Non-Renewed:

Theft Protection - Please Describe:

Comments: