Home Contact Us
Home
National Public Transportation Insurance Programs
Excess & Umbrella Programs
Commercial Automobile Physical Damage
Worker’s Compensation Program
Submission Guidelines
A completed submission MUST include:
  • complete/signed physical damage application (can be printed off the website)
  • Loss experience-4 years, currently valued (insurance company or MGA hard copy)
  • Large losses-details of any loss in excess of $25,000
  • Driver's list-include name, DOB, license number and length of service
  • Current MVR for each driver listed
  • Schedule of owned equipment; include year, make, serial number and current value
  • Parking/security protection
  • Maintenance program (copy if formalized; description if not)
  • Safety program
  • Historical power units, gross receipts and mileage-all for the past three years

*Information required depends on risk submitted.


W.F. Clayton & Associates, L.L.C.

One International Blvd. - Suite 405, Mahwah, NJ 07495-0025 · Phone: (201) 252-3030 - Fax: (201) 252-3031

PRIVACY POLICY

Site designed by Vis-Com, Inc.