14887 Hwy 105 W, Suite 102
Montgomery, TX 77316

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

Our Texas Insurance Policies & Coverages

Please upgrade to the latest version of Flash Player.

Click here if you already have Flash Player installed.

Truck Insurance - Texas Based Businesses

Long Haul Trucking Insurance - Cargo Insurance

We offer insurance protection for Tractor Trailers, Straight Trucks, Service Trucks, Vans Commercial Autos, Hot Shot Operators and Pickup Trucks.

We welcome risks, which are difficult to insure.

Fill out the Truck Insurance Application.pdf to get a quote today. You may mail or fax the application. In order to download, or print the applications, you will need the free Adobe Reader.

Or Fill Out Our On-Line Rater:

Please provide the following information:

Insured Information:

Name

Business Name

Type Of Business (Sole Prop/Inc/LLC/Other)

Street Address

City

State/Province

Zip/Postal Code

County

Garaging Address

Garaging - City

Garaging - State/Province

Garaging - Zip/Postal Code

Garaging - County

Work Phone

Home Phone

Tax ID # or Social

FAX

E-mail

Years in Business:
Effective Date:
Business Description:

Schedule of Vehicles/Trailers

Year Make VIN GVW ACV-Actual CashValue

Largest Cities Entered:

Atlanta Boston Buffalo Charlotte Chicago
Cincinnati Cleveland Dallas/Fort Worth Denver Detroit
Hartford Houston Indianapolis Jacksonville Kansas City
Little Rock Los Angeles Louisville Memphis Miami
Milwaukee Minneapolis/St. Paul Nashville New Orleans New York City
New Orleans Oklahoma City Omaha Philadelphia Phoenix
Pittsburgh Portland Richmond St. Louis Salt Lake City
San Diego San Francisco Seattle Tulsa  
Other Cities: 1 2 3  
Radius Traveled Average Trip Distance
(Rating Question)
 

Commodities Hauled - Percentages Of Each

1 2 3 4  
5 6      

Leasing Info

Number of owned units:  
Number of leased units:  
Is insured hauling for hire? Yes No    

Driver Information

Name
DOB
CDL Number & State
Experience
Date of Hire/Lease
MVR Info

 

Coverages

Liab CSL: Excess Liab: U/M:
PIP: Comp. DED: SCOL DED:
Coll. DED: Med Pay: Cargo Limit:
Cargo DED: Reefer Breakdown: Excess Cargo:
GL CSL: Payroll: Non-trucking:
Other: MC#: TxDOT:
USDOT: Leased to:  
    Address:  

 

3-Year Prior Carrier and Loss History

Carrier
No. of Losses
Total $ Amount
Current Year
1st Prior Year
2nd Prior Year

 

Has previous coverage been cancelled or denied? Yes No If yes, please explain why:

Comments: