Transportation – Insure with BiZ

Business Insurance Quote Request

Tell us a little about your business so we can help gather the right details for your commercial insurance quote.

Contact Information

Business Name *

Owner Name *

Email Address *

Phone Number *

Business Address *

Business Type

What type of business do you need a quote for? * Specific type of business *

Please describe your business type

Coverage Requested

Select all coverage types you are interested in. Options will update based on the business type selected above.

Please select at least one coverage type.

Other coverage needed

Business Size & Details

Years in Business

Business Structure

Full-Time Employees

Part-Time Employees

Working Owners

1099 / Subcontract Workers

Estimated Annual Gross Receipts

Estimated Annual Payroll

Business Location Type

Number of Business Locations

Approximate Business Square Footage

Estimated Equipment / Inventory Value

Briefly describe what your business does *

Commercial Auto Details

Number of Business Vehicles

Number of Drivers

Vehicle Use

Operating Radius

Additional commercial auto details

Construction / Contractor Details

Number of Field Workers

Number of Office / Admin Workers

Do you work residential, commercial, or both?

Largest Job Value

Do you use subcontractors?

Are you licensed?

Describe the type of work performed

Dealer / Car Repair Details

Business Type

Number of Repair Bays

Vehicles Stored Overnight?

Vehicle Inventory Value

Additional dealer / repair details

Daycare / Language Weekend School Details

Number of Children / Students

Number of Staff Members

Ages Served

Are you licensed?

Do you transport children / students?

Food Industry / Hospitality Details

Business Type

Seating Capacity

Do you sell alcohol?

Estimated % of Sales from Alcohol

Additional food / hospitality details

Janitorial Services Details

Type of Cleaning

Average Job Sites Per Day

Average Crew Size

Do you use chemicals?

Manufacturing Details

Products Manufactured

Manufacturing Employees

Raw Materials Used

Annual Product Sales

Additional manufacturing details

Marine Cargo Details

Type of Cargo / Equipment

Estimated Cargo / Equipment Value

How is it transported?

Transportation Radius

Real Estate Details

Property Type

Number of Units

Year Built

Square Footage

Additional property details

Transportation Details

DOT Number

MC Number

Number of Vehicles

Number of Trailers

Number of Drivers

Operating Radius

Type of cargo transported Driver Information

Surety Bond Details

Bond Type

Bond Amount

Additional bond details

Vacant Building Details

Vacant Building Address

Reason for Vacancy

How long has it been vacant?

Are utilities on?

Current Insurance & Claims

Do you currently have insurance?

Yes No

Current insurance carrier Policy expiration date Upload current policies, declaration pages, or proof of insurance documents

You may select multiple files. Accepted files: PDF, JPG, PNG, DOC, DOCX

Any claims in the past 5 years?

Please briefly explain the claim Upload claim documents, loss runs, or related files, if available

You may select multiple files. Accepted files: PDF, JPG, PNG, DOC, DOCX

Do you have additional documents to upload?

Upload one or more additional business documents

You may select multiple files. You may upload licenses, prior insurance forms, contracts, vehicle schedules, payroll documents, or other business records.

How Did You Hear About Us?

How did you hear about us?

Please tell us how you heard about us

Anything else we should know?

This form is for quote intake purposes only and does not bind or guarantee coverage.