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    Auto

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    Compensation

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    Property

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    Owners

    Commercial
    Umbrella

    View all business insurance options

    Business Insurance

    We provide small businesses with a variety of different coverage & policy options that fit their needs.
    Need a policy recommendation?
    Answer 3 questionsAnswer 3 questions
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Trucking Insurance Quote

Trucking Insurance QuoteGravity Certs2024-11-27T16:43:26-06:00

"*" indicates required fields

1Basic Info
2Contact(s)
3Trucks & Trailers
4Drivers
5Commodities
6Additional Insureds
7Wrapping Up

Basic Information

Is your business currently insured?*
Current policy expiration date*
Is this a New Venture or was there a Lapse in Coverage?*
Desired Coverages*
(Select all that apply)
MM slash DD slash YYYY
Do you have a DOT#?*
Do you have an MC#?*
Do you have a Tax ID Number?*
How is the business structured?*
Has the business either Currently or Previously operated under a DBA?
Business Mailing Address*
Business Garaging Address
Are all vehicles garaged at the same location?*

Primary Contact

Name*
Date of Birth*
Can we text you?*
By ticking yes you agree to receive text messages from Mitchell Insurance Agency. You can reply Stop to opt out at any time Please visit our Privacy Policy.
Designated Financial Responsibility for Company?*
What is your Role?*
  • Owner / Operator - Both a Manager and included on the policy as a Driver.
  • Manager - Strictly a manager, is NOT a Driver on the policy.
  • Other - Anyone besides the Owner / Management that has been authorized to contact us on their behalf, particularly to make modifications to their Policy / Coverages.
Is there a Secondary business contact?*

Secondary Contact

Secondary Contact: Name*
Secondary Contact: Date of Birth*
Secondary Contact: What is your Role?*
  • Owner / Operator - Both a Manager and included on the policy as a Driver.
  • Manager - Strictly a manager, is NOT a Driver on the policy.
  • Other - Anyone besides the Owner / Management that has been authorized to contact us on their behalf, particularly to make modifications to their Policy / Coverages.

Truck(s) Information

VIN Year Make Model Actions
       
There are no Trucks.

Maximum number of trucks reached.

Do you have any trailers you want to insure?*

Trailer(s) Information

VIN Year Make Model Actions
       
There are no Trailers.

Maximum number of trailers reached.

Driver(s)

Do you have additional drivers?
Driver Name Date of Birth Drivers License # Drivers License State Actions
       
There are no Drivers.

Maximum number of drivers reached.

Commodities

What type(s) of commodities do you haul? The grand total of all commodities should equal 100%.
 
Add Commodity 2
 
Add Commodity 3
 
Add Commodity 4
 
Add Commodity 5
 
Add Commodity 6
 
Add Commodity 7
 
Add Commodity 8
 
Add Commodity 9
 
Add Commodity 10
 
This should equal 100%
If you haul other commodities not listed above, please enter them here.

Additional Insured(s)

Does anyone need to be listed as Additional Insured
If your AIs have documents or requirements you may upload those here.
Drop files here or
Accepted file types: pdf, Max. file size: 2 MB, Max. files: 10.
    Drop files here or
    Accepted file types: pdf, png, jpg, Max. file size: 2 MB.
      This field is for validation purposes and should be left unchanged.
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      Mitchell Insurance Agency

      Mitchell Insurance Agency
      14115 James Rd.
      Rogers, Minnesota 55374
      Phone: 763-777-9599

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      Office Hours:
      Mon – Fri, 8:30am – 5:30pm CST

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      DISCLAIMER: Informational statements regarding insurance coverage are for general description purposes only. These statements do not amend, modify or supplement any insurance policy. Read your policy or consult with your agent for details. Your eligibility for particular products and services is subject to final underwriting and acceptance by the insurance company providing such products or services.

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      Insurance Fraud Statement

      Fraud is a crime

      If your application contains purposefully misleading, absent, or inaccurate information, you could be charged with fraud. Your insurance carrier could potentially void your policy, or you could face civil or criminal charges or penalties.

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