- ACORD Application for each coverage requested for quotation:
- Workers’ Compensation
- Business Auto
- Property
- Commercial General Liability
- Umbrella Liability
- Complete Vehicle Schedule (including Radius & VIN #’s)
- Drivers List (Driver’s Name, License #, Driver’s License Issuance State, DOB)
- Three Year Hard Copy Company Loss Runs
- Number of Years in Business
- 4 Years’ Historical Vehicle Count
- Financials
- Insured email, website address and FEIN #
All information must be complete for quotation
Accord Application 125 (General Communication Application)
Last Mile Supplemental Application
Last Mile Long Haul Questionnaire (Complete on accound radius exceeds 300 Miles)
Email submissions to reneep@bizchoicetransportation.com
Or fax to 707-252-5905, C/O the BizCHOICE Last Mile Logistics Program