Commercial Truck Insurance Quotes

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Fax 800-422-0110.

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The Car Hauler Insurance Program

Car Haulers face unique risks that most trucker insurance policies don’t cover. Our specialized Car Hauler Insurance Program provides coverage for those challenging situations that can arise on the road. Tony Taylor Car Hauler Insurance Services is the trucking leader in providing customized insurance coverage's and competitive pricing for the demanding car hauling industry.

Fleet managers and owner operators in the Car Hauler Industry rely on us to keep them on the road and profitable. Tony Taylor Insurance Services, Inc. is dedicated to working with you to develop a specialized package regarding the insurance needs of car carrier and trucking operations of all sizes. From the Owner Operator to the Fleet and Driver Safety Manager we have a package to suit your needs.

23 Years of Car Hauler and Trucking Industry Expertise

For a free auto transport quote, fill out this application and click Submit.
A representative will process your application and contact you.

If you prefer, you can download a PDF version, print it and fax or mail it.

AUTO TRANSPORT INSURANCE APPLICATION

APPLICANT INFORMATION

Legal Name of Company

E-mail Address (required)

Effective Date of Coverage

Driver's License Number

Mailing Address

City

State

Individual
Partnership

Corporation
Joint Venture

LLC
Other

Motor Carrier Docket #

Years in Business

Inspection Contact

Inspection Phone

Federal ID #

LOCATION INFORMATION
#	Street, City, County, State, Zip Code

OPERATION	# OF EMPLOYEES	PAYROLL	RECEIPTS
Auto Transport		$	$
Towing		$	$
Auto Repair		$	$
Auto Body Shop		$	$
Used Car Sales		$	$
Dismantling/Salvage		$	$
Trucking		$	$
Office		$	$
Management		$	$
Other		$	$

FOUR LARGEST CLIENTS FOR WHICH THE APPLICANT HAULS	CONTRACT?
1.	Yes No
2.	Yes No
3.	Yes No
4.	Yes No

1.	Does Applicant haul salvaged or crushed vehicles? Yes No
2.	a.	Does the Applicant operate as a drive-away service? Yes No
	b.	If yes, explain
3.	a.	Does the Applicant have brokerage authority? Yes No
	b.	If yes, what is the name of the broker operator?
	c.	What is the broker operator Docket Number?
4.	Does the Applicant understand all new drivers must be submitted to the insurance company for approval prior to hiring? Yes No
5.	a.	Is applicant subsidiary of another entity or does applicant have any subsidiaries? Yes No
	b.	If yes, name and describe:
6.	a.	Is there a formal safety program in operation? Yes No
	b.	If yes, number of meetings held monthly
	c.	What type topics are discussed?
	d.	Who conducts?
7.	Is there a written vehicle maintenance program in operation? Yes No
8.	a.	Are pre-trip vehicle inspections performed? Yes No
	b.	If yes, is this process documented?
9.	a.	Describe minimum hiring standards including driving records, minimum age and auto transport experience related to your business:
	b.	Does the Applicant require a written application? Yes No
	c.	Does the Applicant conduct drug tests? Yes No
	d.	Are the drivers employees of the Applicant? Yes No
	e.	Is there a safe driving incentive program in place? Yes No
	f.	If yes, explain:
10.	a.	Does the Applicant use owner operators? Yes No
	b.	If yes, how many?
	c.	If yes, cost of hire?
11.	a.	Are any vehicles leased, loaned or rented to others? Yes No
	b.	Does the Applicant hire, lease or borrow vehicles from others? Yes No
	c.	If yes to either, describe:
12.	a.	Does the Applicant have any Dealer/Transporter Plates? Yes No
	b.	If yes, how many?
	c.	Plate numbers:
	d.	What are the dealer plates used for?
	e.	Any personal use of the plates? Yes No
13.	a.	Any ICC filings required? Yes No
	b.	Any PUC filings? Yes No
	c.	If yes, list below:
		Name
		Address
	d.	If yes, does Applicant comply with all record keeping required by D.O.T.? Yes No
	e.	Is MCS 90 Required? Yes No
	f.	Authority is granted in the name of:
	g.	Does the Applicant allow anyone to operate under its permit? Yes No
14.	a.	Does the Applicant carry Workers Compensation? Yes No
	b.	Policy Period:
	c.	Insurance co.
15.	What is the total number of vehicles the Applicant owns?
16.	Does the Applicant own or sponsor a car for racing? Yes No
17.	Any storage of vehicles? (If so, complete the following.) Yes No

Location	Fenced	Height	Gates Locked at Night	Well Lit	Alarm	Avg. # of Cars
Loc #1	Yes No		Yes No	Yes No	Yes No
Loc #2	Yes No		Yes No	Yes No	Yes No
Loc #3	Yes No		Yes No	Yes No	Yes No
Loc #4	Yes No		Yes No	Yes No	Yes No
Loc #5	Yes No		Yes No	Yes No	Yes No

18.

Does Applicant have dogs on Premises? Yes No

If yes, number Breed

Are they trained Guard Dogs? Yes No

Are ""Beware of Dog" signs posted on gate? Yes No

Are dogs penned up during business hours? Yes No

19.

Any change in operations or number of vehicles in the last year? Yes No

If yes, please explain

20.

Insurance Co.	Year	Premium	Limits	Deductible	# of Losses	Total Amount of Losses
		$	$	$		$
		$	$	$		$
		$	$	$		$
		$	$	$		$

21.

Has Applicant ever been cancelled or non-renewed?(Do not answer if risk is located in MO) Yes No

If yes, why?

22.

Does the Applicant transport collector, antique, specialty, racing or high valued
(over $75,000) autos? Yes No

If yes, explain?

23.

Are vehicles inspected before they are accepted to be transported? Yes No

Are Bills of Lading used? Yes No

Who performs these inspections?

24.

Are drivers allowed to take vehicles home overnight? Yes No

If yes, explain in detail:

25.

Within the last 12 months:

Average value of vehicles hauled (total for load):

Maximum value of vehicles hauled (total for load):

Maximum value of any one vehicle hauled:

26.

	0 - 50 miles	51 - 200 miles	201 - 500 miles	501 - 1000 miles	Over 1000 miles
Radius of operation	%	%	%	%	%

27.

Who reviews accidents involving your vehicles?

What type of actions are taken as a result?

COVERAGES AND LIMITS DESIRED

Automobile Liability

CSL (Up to $1,000,000)

Medical Payments

Limit per person

$1,000
$2,000
$5,000

Personal Injury Protection

Each Limit (As required by state law)

Uninsured Motorists

CSL (As required by state law)

Physical Damage

Comprehensive Deductible
Collision Deductible

Please indicate on schedule which
vehicles desire Physical Damage.

General Liability

CSL
Aggregate (Aggregate up to 3 times)

Garagekeepers Legal Liability

Limit Location 1
Limit Location 2
Limit Location 3
Deductible

On-Hook Cargo

Limit

Please indicate on schedule
Note: Adequate limits should be selected to
cover the highest valued item "on-hook"/"in-tow".

Insured Name: Date:

Vehicle #

Year

Make

Model

Body Type

Full Serial Number

GCW

Class Code

On-Hook Limit

Deductibles:

Comp

Collision

On-Hook

Use of Vehicle

Radius of Operation

Maximum number of vehicles this unit can haul

Vehicle #

Year

Make

Model

Body Type

Full Serial Number

GCW

Class Code

On-Hook Limit

Deductibles:

Comp

Collision

On-Hook

Use of Vehicle

Radius of Operation

Maximum number of vehicles this unit can haul

Vehicle #

Year

Make

Model

Body Type

Full Serial Number

GCW

Class Code

On-Hook Limit

Deductibles:

Comp

Collision

On-Hook

Use of Vehicle

Radius of Operation

Maximum number of vehicles this unit can haul

Vehicle #

Year

Make

Model

Body Type

Full Serial Number

GCW

Class Code

On-Hook Limit

Deductibles:

Comp

Collision

On-Hook

Use of Vehicle

Radius of Operation

Maximum number of vehicles this unit can haul

Vehicle #

Year

Make

Model

Body Type

Full Serial Number

GCW

Class Code

On-Hook Limit

Deductibles:

Comp

Collision

On-Hook

Use of Vehicle

Radius of Operation

Maximum number of vehicles this unit can haul

Vehicle #

Year

Make

Model

Body Type

Full Serial Number

GCW

Class Code

On-Hook Limit

Deductibles:

Comp

Collision

On-Hook

Use of Vehicle

Radius of Operation

Maximum number of vehicles this unit can haul

AUTO TRANSPORT DRIVER LIST

#	Driver's Name	DOB	Date of Employment	Commercial Driving Experience	Driver's License Number		Auto Transport Experience	Company Use Only
								VIOL	ACC	DEL	ADD


1.
	Driver's Status		Part-Time Full-Time			Employee?	Yes No
2.
	Driver's Status		Part-Time Full-Time			Employee?	Yes No
3.
	Driver's Status		Part-Time Full-Time			Employee?	Yes No
4.
	Driver's Status		Part-Time Full-Time			Employee?	Yes No
5.
	Driver's Status		Part-Time Full-Time			Employee?	Yes No
6.
	Driver's Status		Part-Time Full-Time			Employee?	Yes No
7.
	Driver's Status		Part-Time Full-Time			Employee?	Yes No
8.
	Driver's Status		Part-Time Full-Time			Employee?	Yes No
9.
	Driver's Status		Part-Time Full-Time			Employee?	Yes No
10.
	Driver's Status		Part-Time Full-Time			Employee?	Yes No
11.