14887 Hwy 105 W, Suite 102
Montgomery, TX 77316

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

24 Hour Turn Around on Internet Quote Requests for Home, Auto, RV, Renters, Motorcycle and Water Craft!

Petcare Insurance

Our Mission:

To help our clients find the right insurance coverage's at a fair price. As an independent agency, our agency can quote your insurance through a number of different carriers to make sure you are getting a good value on your insurance products.

Kyle E. Hern, Agent
Please feel free to call me on my cell phone, 713-203-8538, or visit our contact page.

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
Surname
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	0-75 75-200 200-300 300-500 over 500	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: N/A 30,000 50,000 55,000 100,000 300,000 500,000 750,000 1,000,000 Excess Liab: U/M: N/A 55,000 100,000 300,000 500,000 750,000 1,000,000 PIP: N/A 2,500 5,000 Comp. DED: N/A 250 500 1,000 2,500 SCOL DED: N/A 250 500 1,000 2,500 Coll. DED: N/A 250 500 1,000 2,500 Med Pay: N/A 1,000 2,000 5,000 Cargo Limit: Cargo DED: N/A 500 1,000 2,500 Reefer Breakdown: Excess Cargo: GL CSL: Payroll: Non-trucking: N/A 55,000 100,000 300,000 500,000 750,000 1,000,000 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: