Auto Dealers/Garage Quote

Named Insured *
New Venture *	Yes No
Presently Insured	Yes No
Nature of Business *
List any claims last 3 yrs *
Location of risk (city,county,Zip Code) *
Limits of liability/Um *
Med Pay *
Dealer Comprehensive Limit/Ded *
Collision Limit/Ded *
Garage Keeper Comprehensive /Limit/Ded *
Collision Ded/Limit *
Do repairs or detailing for the public *	Yes No
Number of full time employees *
Number of non employees(inc spouse,children) *
Any drivers with MVR activity *	Yes No
Details of MVR activity
Number Of dealer tags *
any tow trucks ,rollbacks,or car haulers *	Yes No
Do you need property coverage *	Yes No
Best time to contact you *
Phone Numbers to contact you
email address *