Professional Risk Planners, Inc. - Insurance and Bonding Specialists Professional Risk Planners, Inc. - Insurance and Bonding Specialists Professional Risk Planners, Inc. - Insurance and Bonding Specialists
(631) 360-8800 Phone
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Protecting Your Business,
Your Lifestyle, and Your Employees

Professional Risk Planners, Inc. - Insurance and Bonding Specialists
Professional Risk Planners, Inc. - Insurance and Bonding Specialists
Professional Risk Planners, Inc. - Insurance and Bonding Specialists
Professional Risk Planners, Inc. - Insurance and Bonding Specialists
Professional Risk Planners, Inc. - Insurance and Bonding Specialists
Professional Risk Planners, Inc. - Insurance and Bonding Specialists
Professional Risk Planners, Inc. - Insurance and Bonding Specialists
Professional Risk Planners, Inc. - Insurance and Bonding Specialists

Commercial Auto

Insurance Quote

We would like to provide you with a free, no-obligation commercial automobile insurance quote. Please provide as much information possible for the most accurate quote. This information will be kept confidential and will be used for quote purposes only.

General Information
Name of Insured:
Address:
City:   State:   Zip:
Business Phone:   Fax Number:
Email Address:
Garaging Address 
(type "same" if same as above):
City:   State:   Zip:

Coverage Information
Liability Amount (csl):
Uninsured Motorist - Bodily Injury (csl):
Uninsured Motorist - Property Damage: Yes   No
Medical:
Hired Auto: Yes   No
Non-Owned Auto: Yes   No
Comprehensive Deductible: Yes   No       If "Yes",
Collision Deductible: Yes   No       If "Yes",

Vehicle Information
You can list up to 5 vehicles on this form... reuse this form multiple times for additional vehicles
AUTO
#1
Year
Make
Model
VIN #
Gross Vehicle Weight
Cost New
Radius
(in miles, one way)
Vehicle Use
lbs.
$
Please describe in detail what the vehicle is used for: 
If commodity is hauled, please explain:

 

AUTO
#2
Year
Make
Model
VIN #
Gross Vehicle Weight
Cost New
Radius
(in miles, one way)
Vehicle Use
lbs.
$
Please describe in detail what the vehicle is used for: 
If commodity is hauled, please explain:

 

AUTO
#3
Year
Make
Model
VIN #
Gross Vehicle Weight
Cost New
Radius
(in miles, one way)
Vehicle Use
lbs.
$
Please describe in detail what the vehicle is used for: 
If commodity is hauled, please explain:

 

AUTO
#4
Year
Make
Model
VIN #
Gross Vehicle Weight
Cost New
Radius
(in miles, one way)
Vehicle Use
lbs.
$
Please describe in detail what the vehicle is used for: 
If commodity is hauled, please explain:

 

AUTO
#5
Year
Make
Model
VIN #
Gross Vehicle Weight
Cost New
Radius
(in miles, one way)
Vehicle Use
lbs.
$
Please describe in detail what the vehicle is used for: 
If commodity is hauled, please explain:

 

Loss Information
How many losses have there been in the last 3 years?  
(If any, please explain below)

Additional Comments
Please give any additional comments you feel appropriate for this quotation. If you have
additional information where there was not enough fields above, please enter them here.

Please click on the "Submit Quote" button to send your quote request.
One of our representatives will respond to your submission as soon as possible.

   


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Professional Risk Planners, Inc. - Insurance and Bonding Specialists
Professional Risk Planners, Inc.
670 Old Willets Path, Suite A
Hauppauge, New York 11788
Phone: 
Fax: 
(631)360-8800
(631)360-8875
ins@proriskplan.com

Professional Risk Planners, Inc. - Insurance and Bonding Specialists
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Important Note: This website provides only a simplified description of coverages and is not a statement of contract. Coverage may not apply in all states. For complete details of coverages, conditions, limits and losses not covered, be sure to read the policy, including all endorsements.

Professional Risk Planners, Inc. - Insurance and Bonding Specialists
Professional Risk Planners, Inc. - Insurance and Bonding Specialists

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Privacy Notice: Your privacy while visiting our website is important to us. Because there are parts of our site where we ask you to provide us with certain types of personal information about yourself, we want you to know how we will use it. We will use the information that you give us explicitly for the purposes stated on any online electronic form on this website, which in most cases will be for quoting, service, and information requests. We will not sell, share, or turn over any information you provide to any other person or organization. We may make it part of a reference source for future contact with you by our organization. We take your privacy very seriously, and ask that you contact us directly if you have any questions or concerns about the use of our website.