15001Walden Rd., Suite 215C
Montgomery, TX 77356

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

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.

Submission Guidelines

  • Complete Application Below
  • 5 yr. loss runs
  • Historical Unit Count
  • Current Carrier info
  • Required Filings
  • New Authority / New Ventures - Download Form

Please fax the above information to 936-309-0050 or email the information to kehern@sbcglobal.net

 

 

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

YearMakeVINGVWACV-Actual CashValue

Largest Cities Entered:

AtlantaBostonBuffaloCharlotteChicago
Cincinnati ClevelandDallas/Fort WorthDenverDetroit
HartfordHoustonIndianapolisJacksonvilleKansas City
Little RockLos AngelesLouisvilleMemphisMiami
MilwaukeeMinneapolis/St. PaulNashvilleNew Orleans New York City
New Orleans Oklahoma CityOmahaPhiladelphiaPhoenix
PittsburghPortlandRichmondSt. LouisSalt Lake City
San DiegoSan Francisco SeattleTulsa  
Other Cities:123  
Radius TraveledAverage Trip Distance
(Rating Question)
 

Commodities Hauled - Percentages Of Each

1234  
56    

Leasing Info

Number of owned units:  
Number of leased units:  
Is insured hauling for hire?YesNo   

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?YesNo If yes, please explain why:

Comments: