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Business Insurance Quote

  1. Home
  2. Business Insurance Quote
  • E&S Bonded and P&C Licensed
  • A Rated Insurers and Specialty Markets
Business Insurance QuoteBret Fair, RWCS, CAWC2024-06-07T12:23:37-07:00

"*" indicates required fields

Thank you for your interest in receiving a quote from 360 Risk Partners. This form should only take about 5-10 minutes to complete. Don't worry if you don't have everything. You can always click the "Save and continue later" button below. We'll email you a private link to pick up where you left off.

MM slash DD slash YYYY
Which type of insurance are you looking for?*
Check all that apply.
Submission Contact Name*
Email*
Can we text you?
Consent is not required as a condition of purchase. Message frequency will vary. Message and data rates may apply. Reply HELP for help or STOP to cancel. Privacy Policy.

Business Information

Business Address*
Mailing Address*
Is this business affiliated with a franchise?

Additional Business Owners

Owner 2

2. Owner Name*
2. Owner Date of Birth*

Owner 3

3. Owner Name*
3. Owner Date of Birth*

Owner 4

4. Owner Name*
4. Owner Date of Birth*

Vehicles

Are all vehicles garaged at the business address?*
Are all vehicles titled in the name of the business?*

Vehicle 1

1. Does this vehicle have permanently attached equipment?

Vehicle 2

2. Does this vehicle have permanently attached equipment?

Vehicle 3

3. Does this vehicle have permanently attached equipment?

Vehicle 4

4. Does this vehicle have permanently attached equipment?

Vehicle 5

5. Does this vehicle have permanently attached equipment?

Vehicle 6

6. Does this vehicle have permanently attached equipment?

Drivers

Commercial License? (CDL)
Let's add 8 of your drivers now. We will contact you to get your additional drivers information.
Do any of your drivers take the vehicle(s) home at night?*

Driver 1

1. Name*
1. Date of Birth*
1. Commercial License? (CDL)
1. Hire Date

Driver 2

2. Name*
2. Date of Birth*
2. Commercial License? (CDL)
2. Hire Date

Driver 3

3. Name*
3. Date of Birth*
3. Commercial License? (CDL)
3. Hire Date

Driver 4

4. Name*
4. Date of Birth*
4. Commercial License? (CDL)
4. Hire Date

Driver 5

5. Name*
5. Date of Birth*
5. Commercial License? (CDL)
5. Hire Date

Driver 6

6. Name*
6. Date of Birth*
6. Commercial License? (CDL)
6. Hire Date

Driver 7

7. Name*
7. Date of Birth*
7. Commercial License? (CDL)
7. Hire Date

Driver 8

8. Name*
8. Date of Birth*
8. Commercial License? (CDL)
8. Hire Date

Underwriting

What coverages are you looking to have in place?*
Check all that apply
How are drivers paid?*
Which of the following is part of your driver screening/hiring process?*
Check all that apply
In the past 5 years have you, or any driver, been convicted of any of the following?
Check all that apply
Are drivers covered by workers comp?*
Do you haul for hire?*
Do you Barter Hire or Lease any drivers or vehicles out for others to use?*
Which party provides primary auto liability coverage?*
Do you Barter Hire or Lease any drivers or vehicles to haul under your authority?*
Are owner-operators subject to the same hiring, training, and equipment maintenance standards as company drivers?*
On what basis are vehicles and drivers leased?*
Do you require and get evidence that leased vehicles owners purchase non-trucking liability?*
We will need a copy of the lease agreement
Does your company allow any of the following practices?
Check all that apply

Underwriting

Do you need Federal Filings*
Note: For Federal Filings, an MCS 90 Endorsement is needed too.
Do you need State Filings?*
Is any part of your operation seasonal?
Does vehicle(s) have an ELD installed?
Does your business provide any of the following general services?*
Does your business generate revenue from any services other than trucking for hire?*
Have you ever changed your operating name?*
Do you operate under any other names currently?*
Do you operate as a subsidiary of another company?*
Have you purchased, sold, or applied for authority over the past 3 years?*
Have you ever lost, or had authority withdrawn, or have been/are under probation by any regulatory authority? (FHWA, PUC, etc.)*
Do you agree to report all newly hired operators?*
Do you agree to report all newly purchased or leased equipment?*

Business Information Continued

Do you have employee(s)?*
Do you lease your employees?*
Do you use any subcontractors? (1099s)*
Do you have a written contract with your subs requiring them to name your business as Additional Insured and show proof every year?*

Building and Property Information

My business location is*
Do you need coverage for the building?*
Have you made any tenant improvements?*
Do you have more than 1 business location?*

Building Information

Has there been any updates to the roof, plumbing, or electrical?*

Additional Location(s)

Location 2 is*
Location 2: Address*
Add 3rd Location
Location 3 is*
Location 3: Address*

Business Description

Workers Compensation

Choose up to 10 class codes and payroll for each code selected.