Phone: 253-581-1500 | Fax: 253-581-3460

Garage Owners Quote

Contact Information

Name of Business *
Contact Name: *
Address: *
Mailing Address: *
City, State, Zip *
Phone Number * Home Work
Email
Location for this quote.(Address)
Years In Business:
Years Sales/Repair Experience:

Business Entity

Individual Partnership Corporation
Describe your Operations:

Locations where you conduct Garage Operations

Location 1:
Location 2:

Underwritting Information (List of Drivers (Owners, Employees, Family)

Person 1

Name  
Drivers License State of License:
Date of Birth Furnished Auto: Yes No
Job Description and / or Relation: Past 3 Years Number of:
  Accidents :
Citations:

Person 2

Name  
Drivers License State of License:
Date of Birth Furnished Auto: Yes No
Job Description and / or Relation: Past 3 Years Number of:
  Accidents :
Citations:

Person 3

Name  
Drivers License State of License:
Date of Birth Furnished Auto: Yes NO
Job Description and / or Relation: Past 3 Years Number of:
  Accidents :
Citations:

Sales

Where do you purchase vehicles?
Who drives or tows vehicles to your lot?
How many times per year do you drive-away more than 300 miles from point of purchase?
How many vehicles do you sell per year?
How many of those are on consignment?
What is your normal radius of operation?

What is your Sales Mix

a. cars, sport utility, pickups, vans % d. trucks, tractors, semi-trailers %
b. motor homes % e. salvage parts %
c. travel trailers, camp trailers % f. other %
Describe your theft barriers (fence & gate or post & cable)
Describe your key controls
How many dealer plates do you have?
Do you repossess vehicles? YES NO
If yes, explain
Do you sell "salvage titled" vehicles? YES NO
If yes, what percentage of vehicles require:
% cosmetic repair % mechanical repair % structural repair
Do you always ride along on test drives? YES NO

Services

What percentage of your work is:
Body/Paint % Muffler %
Tune Up % Radiator %
Transmission % Wheel Alignment %
Brakes % Oil & Lube %
Sound System % Window Tint %
Tires % Upholstery %
Wash/Detail % Other %
Describe:
Do you sell gasoline: YES NO
or LPG: YES NO
If yes, how many gallons:
Do you install trailer hitches? YES NO
Do you have a spray paint booth? YES NO
If yes, is it U/L approved? YES NO
Is it ventilated? YES NO
Do you recap tires or sell recapped tires? YES NO
Do you tow for hire? YES NO
If yes, explain
Describe lot security and key controls

Prior Carrier and Loss History for 3 Years

Year 1

Current Carrier:
Policy Period:
Policy Premium:
Date of Loss:
Amount:
Description of Loss:

Year 2

Prior Carrier:
Policy Period:
Policy Premium:
Date of Loss:
Amount:
Description of Loss:

Year 3

Prior Carrier:
Policy Period:
Policy Premium:
Date of Loss:
Amount:
Description of Loss:

Coverage Requested

Garage Liability $
Each accident $
Aggregate, Deductible $
(Legal Liab.) Garage-keepers $ per location
SCL $ deductible
Collision $ deductible
Dealers Physical Damage $ per location
SCL $ deductible
Collision $ deductible
New Used

Interests Covered

Owner Owner and Creditor Consignment Owner

Vehicle 1

Veh.No. Year Make
Body Type ACV V.I.N.
GVW Radius
Use Loss Payee

Vehicle 2

Veh.No. Year Make
Body Type ACV V.I.N.
GVW Radius
Use Loss Payee

Vehicle 3

Veh.No. Year Make
Body Type ACV V.I.N.
GVW Radius
Use Loss Payee
Uninsured Motorist: $
Personal Injury Protection: $
Fire Legal Liability: $ 50,000

Buy-Backs

GK Transit Limit: $
Drive-Away Miles: $
Value per Auto: $
Comments:

* Required Fields

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