Tow Truck Quote Sheet

Tow Truck Quote Name_________________________________________________ Name of company____________________________________ Mailing Address________________________________________ City _________________ State ________ Zip________________ Garaging Address If different______________________________ Phone # _____________________ Phone # ________________ List of Drivers Name M or S Age Drivers License # __________________________________________________________________________________________________________________________________________________________________________________________________________________ List of Vehicles Year Make Flatbed or Wrecker Vin # $ Value if full ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Coverage 500,000 CSL Liability or 750,000 CSL Liability 500,000 CSL Garage 750,000 CSL Garage 25,000 Car On Hook 50,000 Car on Hook 20,000/40,000 UM 20,000/40,000 UM Full coverage (Physical Damage $1,000) Relocating ICC Filing Yes or No Yes or No Yes or No Do they have prior insurance? ______ If so With what company? ________________________ Do you have Current Insurance __________ Any losses? _______________________________ Notes_______________________________________________________________________________________________________________________________________________________________________ Total = $ _________ / year Down Payment = $ __________