Independent Contractor Submission Requirements

• Cover Letter - overview of coverage, limits and deductibles desired for quotation (ie.Auto Liability, General Liability, Cargo Legal Liability and Umbrella)
• Last Mile Independent Contractor Supplemental Application – PDF Version PDF Version
• Loss History Requirement: Fleets under 5 units do not require loss runs but will get better pricing if provided. Fleets over 5 vehicles either need a loss statement from the insured by line of coverage (see box on supplemental application} or hard copy company loss runs.
• Additional Vehicle/Driver Information - If operation has more then 3 drivers or vehicles please complete this form –  PDF Version
• Driver Eligibility Requirements for Program – PDF Version
• Last Mile Long Haul Questionnaire (Complete on account radius exceeds 300 Miles) – PDF Version
• Workers Compensation Submission’s require a completed Acord application, 4 years of loss history, and a current Experience Modification Worksheet.