Concessionaires / Push Cart Vendors Online Quote - Commonwealth Underwriters, Ltd.

Concessionaires Online Quote

Agency Name:
Agent Name:
	first and last name
Phone:
	999-999-9999 format
Fax:
	999-999-9999 format
Agent Email:	(A copy of the quote will be sent to this address)
Insured Name:
Insured State:
Would you like a finance quote?	(Click if Yes)
Would you like a finance quote?	(Click if Yes)
	* Financing is not available for a 3 or 6 month term.
	* Financing is not available for a 3 or 6 month term.
Agency's Mailing Address
Agency City
Agency State
Agency Zip
Insured's Mailing Address
Insured City
Insured Zip

Risk Details
Length of term:
What type of vendor is the insured?:
Limit required:
Total receipts (in dollars):	$
Years in business:
Years of experience:
Description of catering operations:
Condition of catering equipment:
Have employees been thoroughly trained?
Will any liquor be served?
	* Quote will be Submitted for Underwriter Approval
Total liquor receipts (in dollars):	$
Limit Required:
How many trucking units are required?
Is operation related to valet parking services, tow trucks, airline catering or off-shore catering?	(Click if Yes)
Limit Required:
Number of Kiosks, Push Carts, Tables or Booths:
Limit Required:
Number of Kiosks, Push Carts, Tables or Booths:
Limit Required:
Number of Kiosks, Push Carts, Tables or Booths:
Limit Required:
Number of Kiosks, Push Carts, Tables or Booths:
Does the Insured require hired or non-owned auto coverage?	(Click if Yes)
Does the Insured sell any health or dietary supplements?	(Click if Yes)
Does the Insured sell children's toys/dolls, non-food products (manufactured by the insured), or alcohol?	(Click if Yes)
Have there been any losses in the last 3 years?	(Click if Yes)
Has there been more than one loss in the last 3 years?	(Click if Yes)
Has any loss exceeded $10,000 in the last 3 years?	(Click if Yes)
Does the Insured operate at bazaars, flea markets and/or open air markets?	(Click if Yes)
Are there any additional insureds?	(Click if Yes)
Type of additional insureds:
Number of additional insureds:

Inventory Coverage
Does the Insured need coverage on Owned Inventory?	(Click if Yes)
Property value: $
	* Maximum limit available online - $10,000

Additional Comments
Additional Comments:

This quoter requires that javascript is enabled and the use of Firefox 1.0+, Internet Explorer 6+, Safari or Opera.

If you are seeing this message then you do not meet these requirements.