Garage Insurance Quote Step 1 of 9 11% Applicant Name(s)Email Phone NumberOperating NameRisk Location Addresse.g. 10 Water Street, Somecity, ON. A1A 1A1 Year Established:YYYYHow many years of experience does the Applicant have?Please explain your business operations Sales of New Vehicles Sales of Used Vehicles Body Shop Repair Garage Service Station Parking Lot Storage Garage Valet Parking Car Wash Other Please describe what OTHER type of operationsYearly Sales Amount - New VehiclesYearly Sales Amount - Used VehiclesYearly Sales Amount - Body ShopYearly Sales Amount - Repair GarageYearly Sales Amount - Service StationYearly Sales Amount - Parking LotYearly Sales Amount - Storage GarageYearly Sales Amount - Valet ParkingYearly Sales Amount - Car WashYearly Sales Amount - OtherIs the service station Self Serve? Yes No Is the Parking Lot Self Park? Yes No Is the Storage Garage Self Store? Yes No Is there a Fee Charged for Valet Parking? Yes No Is the Car Wash Automatic? Yes No Types of Vehicles Sold and/or ServicedTypes of Vehicles Sold and/or Serviced Private Passenger Light Commercial (<4500kg GVW) Heavy Commercial (>4500kg GVW) Trailers Commercial Trailers Antique/Classic Exotic/Racing Motorcycles ATVs Snowmobiles Motorhomes Summary of EmployeesHow many Proprietors, Partners, Executive Officers, Department Mangers?Full time?Select If applicable123456 to 910 to 1515+Part time?Select If applicable123456 to 910 to 1515+How many Sales Staff?Full time?Select If applicable123456 to 910 to 1515+Part time?Select If applicable123456 to 910 to 1515+How many Mechanics, Apprentice Mechanics, Parts Delivery?Full time?Select If applicable123456 to 910 to 1515+Part time?Select If applicable123456 to 910 to 1515+How many Lot Persons, Tow Truck Operators?Full time?Select If applicable123456 to 910 to 1515+Part time?Select If applicable123456 to 910 to 1515+How many Body Shop Workers, Service Station Attendants?Full time?Select If applicable123456 to 910 to 1515+Part time?Select If applicable123456 to 910 to 1515+How many full service Station Attendants?Full time?Select If applicable123456 to 910 to 1515+Part time?Select If applicable123456 to 910 to 1515+How many Clerical,Security Staff, Building Maintenance Staff?Full time?Select If applicable123456 to 910 to 1515+Part time?Select If applicable123456 to 910 to 1515+How many Parking Lot Attendants?Full time?Select If applicable123456 to 910 to 1515+Part time?Select If applicable123456 to 910 to 1515+How many Parts Department Staff, Self Service Gas Attendants?Full time?Select If applicable123456 to 910 to 1515+Part time?Select If applicable123456 to 910 to 1515+How many Valet Parking Attendants?Full time?Select If applicable123456 to 910 to 1515+Part time?Select If applicable123456 to 910 to 1515+ Owner(s) or Employee(s) who will use Dealer and/or Service PlatesThis field is hidden when viewing the formPlease include drivers that are not employees who will drive vehicles under this policy Name Relationship to the insured Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Number of private passenger vehicles supplied to Drivers above? Summary of All Active Vehicles and Plates OwnedAre all active vehicles owned by, and registered to the applicant? Yes No If "No" please explainNumber of Dealer PlatesNumber of Service PlatesNumber of White PlatesNumber of courtesy cars loaned or rented to customer for less than 30 daysDetails of all vehicles owned by the applicant (excluding those unplayed and solely held for sale) Vehicle year Vehicle make Driver(s) Name Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Owned Automobiles including Vehicles Held for SaleMaximum Number of Vehicles in BuildingMaximum Number of Vehicles on LotMaximum Value of All VehiclesAverage Value of All VehiclesCustomer AutomobilesMaximum Number of Vehicles in BuildingMaximum Number of Vehicles on LotMaximum Value of All VehiclesAverage Value of All Vehicles Security Measures (for owned and customers' automobiles)Where are keys kept during business hours?Where are keys kept after business hours?Are employee drivers driving abstracts obtained? Yes No How often?Outside Floodlights Yes No Burglary Alarm System Yes No Fenced Compound Yes No Guard Dogs Yes No Night Watchman Yes No Other Details/Remarks: Supplementary QuestionsDoes the applicant pick up or deliver customer's automobiles? Yes No Please provide details (i.e. Destination, Frequency & Radius over 40km)Number of Spray BoothsInspected and Approved Yes No % Spraying% WeldingDoes the applicant dispense propane, do propane conversion, or repair or maintain propane fuel systems? Yes No If "Yes" provide details, including number of licensed employeesWhat is the percentage of sales for propane related activities?Give details of any contractual liability the applicant has entered into assuming responsibility for damage to automobiles in their Care, Custody or Control?What is the maximum number of automobiles that your tow trucks are designed to carry/tow?How many tow trucks can carry/tow more than one automobile? Supplementary Questions - Used Car SalesDoes the applicant have written rules regarding use of company owned automobiles? Yes No Please explain rules of useIf "No" please explain:Is demonstrator use restricted to employees only?Please selectYes restricted to employees onlyYes restricted to employees including spouseYes restricted to employees, spouse and childrenIs vacation use of owned vehicles permitted Yes No Are customers permitted to test drive owned automobiles? Yes No Is customer always accompanied by salesperson Yes No If "No" please describe procedures for other precautions takenIf sales include recreational vehicles (eg. snowmobiles, ATVs, motorhomes) are customers permitted to test drive? Yes No Is applicant currently registered with the Ontario Motor Vehicle Industry Council (OMVIC)? Yes No Where and how are vehicles held for sale obtained?Is there a formal policy regarding Lien checks? Yes No Is there a formal policy regarding consignment Yes No If "Yes" what policies and procedures are in place to ensure that the coverage remains in force on consignment vehicles?Vehicle Sales HistoryExpected # of vehicles to be sold this yearAverage retail value this yearExpected # of vehicles to be sold next yearAverage retail value next yearNumber of vehicles sold last yearAverage retail value last yearNumber of vehicles sold 2 years agoAverage retail value 2 years ago Claims HistoryHas the applicant had any losses in the last five years? Yes No Date of claim: MM slash DD slash YYYY Nature of claim:Please selectLiability - Property damage to othersLiability - Bodily injuryLiability - Financial loss to othersLiability - OtherProperty - Vehicle impact/aircraft impactProperty - Fire (not arson)Property - Fire by arsonProperty - BurglaryProperty - Change in TemperatureProperty - Change in temperatureProperty - EarthquakeProperty - Electrical currentProperty - ExplosionProperty - Falling objectProperty - FloodProperty - FreezingProperty - HailProperty - LandslideProperty - LightningProperty - Malicious actsProperty - OtherProperty - Overland waterProperty - RiotProperty - Sewer backupProperty - SmokeProperty - WindstormProperty - VandalismProperty - Vandalism by tenantProperty - TheftProperty - WaterProperty - Snow or iceProperty - Equipment breakdownLoss / Expenses Paid:Is the claim closed? Yes No Have all damages been repaired? Yes No Describe the loss control measures that are now in place to avoid a future similar loss:Has the Applicant had more than one claim or loss in the past five years? Yes No Date of 2nd claim: MM slash DD slash YYYY Nature of 2nd claim:Please selectLiability - Property damage to othersLiability - Bodily injuryLiability - Financial loss to othersLiability - OtherProperty - Vehicle impact/aircraft impactProperty - Fire (not arson)Property - Fire by arsonProperty - BurglaryProperty - Change in TemperatureProperty - Change in temperatureProperty - EarthquakeProperty - Electrical currentProperty - ExplosionProperty - Falling objectProperty - FloodProperty - FreezingProperty - HailProperty - LandslideProperty - LightningProperty - Malicious actsProperty - OtherProperty - Overland waterProperty - RiotProperty - Sewer backupProperty - SmokeProperty - WindstormProperty - VandalismProperty - Vandalism by tenantProperty - TheftProperty - WaterProperty - Snow or iceProperty - Equipment breakdownLoss / Expenses Paid on 2nd claim:Is the 2nd claim closed? Yes No Have all damages been repaired? Yes No Describe the loss control measures that are now in place to avoid a future similar loss:Has the Applicant had more than two claims or loss in the past five years? Yes No Date of 3rd claim: MM slash DD slash YYYY Nature of 3rd claim:Please selectLiability - Property damage to othersLiability - Bodily injuryLiability - Financial loss to othersLiability - OtherProperty - Vehicle impact/aircraft impactProperty - Fire (not arson)Property - Fire by arsonProperty - BurglaryProperty - Change in TemperatureProperty - Change in temperatureProperty - EarthquakeProperty - Electrical currentProperty - ExplosionProperty - Falling objectProperty - FloodProperty - FreezingProperty - HailProperty - LandslideProperty - LightningProperty - Malicious actsProperty - OtherProperty - Overland waterProperty - RiotProperty - Sewer backupProperty - SmokeProperty - WindstormProperty - VandalismProperty - Vandalism by tenantProperty - TheftProperty - WaterProperty - Snow or iceProperty - Equipment breakdownLoss / Expenses Paid on 3rd claim:Is the 3rd claim closed? Yes No Have all damages been repaired? Yes No Describe the loss control measures that are now in place to avoid a future similar loss:Prior InsuranceDoes the Applicant currently carry Commercial General Liability coverage? Yes No Current Insurer Name:Policy Number:Premium:Current Insurance Expiry Date MM slash DD slash YYYY CoveragesCommercial General Liability:Please selectNot Required$1,000,000$2,000,000$3,000,000$5,000,000Tenants Legal Liability:Please select$250,000$500,000$1,000,000Tenants Legal Liability:Please select$250,000$500,000$1,000,000$2,000,000Tenants Legal Liability:Please select$250,000$500,000$1,000,000$2,000,000$5,000,000Employment Benefits Liability Extension:Please select$0 - Not required$1,000,000Employment Benefits Liability Extension:Please select$0 - Not required$1,000,000$2,000,000Employers Liability:Please select$0 - Not required$1,000,000Employers Liability:Please select$0 - Not required$1,000,000$2,000,000Non-owned Auto Limit:Please select$0 - Not required$1,000,000Non-owned Auto Limit:Please select$0 - Not required$1,000,000$2,000,000Non-owned Auto Limit:$0 - Not required$1,000,000$2,000,000$5,000,000Optional Property CoverageDoes the Applicant require property coverage? Yes No Business Personal PropertyContents of Every Description (incl. Improvements, Stock, Contents):Stock / InventoryMiscellaneous Articles FloaterDoes the applicant require Business Interruption - Actual Loss Sustained coverage ? Yes No Business Interruption – ALS Limit Required:Flood Coverage Yes No Earthquake Coverage Yes No Sewage Backup Coverage Yes No Water Damage Deductible:Please select$5,000$10,000$25,000Optional Crime CoverageOptional Crime Coverage:Please select$0 - Not required$5,000$10,000$25,000Optional Equipment Breakdown CoverageOptional Equipment Breakdown Not required Required Value of equipment:Building InformationProperty Deductible:Please select$1,000$2,500$5,000$10,000$25,000Location / Building DetailsBuilding Construction:Please selectWood FrameMasonry veneerMasonry (including mill)LogNon-combustable - HCBNon-combustable - (All steel structure)Fire resistive (poured concrete)Fire resistive (concrete tilt up)Modular / PrefabSteel frame with fabric coveringClayStrawInsulated concrete formsWhat year was the building built?Square footage:Roofing Material:Please selectAsphalt shinglesCedarClay / slateFlat Deck / Tar + GravelGreenMetalRubberStrawThatchedZincMultiple - more than one of the above roof typesYear of latest roof update:Heating:Please selectBaseboard electricBoiler - in floor radiant heatBoiler - water baseboardCombination - forced air furnace with add on wood burning unitFireplace insertsForced air furnaceHeat pumpPlug-in space heatersRadiant ceiling heat panels - electricStoves (Wood heat, pellet)Wall furnace Wall heaterWood heat applianceBuilding is not heatedRoof top HVAC systemYear of latest heating update:Electrical:Please selectCircuit breakersFusesMixed - more than one of the above typesYear of latest update to electricalPlumbing type:Please selectCopper, PEX, PVC, ABSPolybutyleneGalvanized steelKitecCast ironMixed - more than one of the above types of plumbingBuilding does not have plumbingYear of latest update to plumbingDoes the premises have a monitored alarm (both fire and burglary) system? Yes No Does the premises have security bars or security film installed on all glass windows and doors? Yes No Is the premises sprinklered? Yes No
