Low Cost Missouri Dealership insurance - Fast online MO vehicle dealership insurance quotes from Whitney Harrison Insurance
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We Insure a Variety of
Missouri Dealerships
for Autos, Motorcycles,
RV's, Trucks, Commercial Auto, Classic & Antique Vehicles, and more.
insurance services from Hawkins Harrison
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WE'RE HERE TO SERVE YOU:
   Easy Missouri Dealer
   Insurance.com

   A Division of Hawkins
   Harrison Insurance Agency

   2412 S Franklin Street

   Kirksville, MO 63501

   TOLL FREE: (800) 748-7185

   PHONE: (660) 665-1212

   FAX:(660) 665-9444
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larryb@whitneyharrison.com

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Your Personal / Company Data:

Your Name:
Your Company's Name:
Street Address:
City:
State: (Must be Missouri!) 
Zip/Postal:
E-Mail (REQUIRED):
Phone:
Fax (optional):
Your Business Type: Corporation
Partnership
Individual
Other

 


* A Missouri Drivers License Is Required *

Currently Insured?
(If yes, list carrier, and Policy Dates.
If none, type NONE)
 
Current Premium (cost) $
 
List Claims & Amounts Paid
During Last 5 Years
(If none, type NONE)
 
Years In Business:
 
How many dealer tags to you have?
 


 
Underwriting Information:
 
Operations Data:
Describe IN DETAIL,
Your Business Operations:
 
Number of Employees
 
Ownership Data:
 
Number of Employees driving vehicles at work: Number of Employees that do NOT drive at work:
 
Number of Employees driving vehicles over 25 years old: Number of Employees driving vehicle over 72 years old:
NOTE: List any drivers MVR Activity in remarks (tickets, accidents, etc.)

Location & Sales Information:
List Annual Gross Revenues from the Operation Here $
 
Are there other business/residences in this building (describe)?: Describe safety features (alarm, sprinklers, fire protection, etc):
Provide breakdown percentages (must total 100%):
Private Passenger cars, SUV's, Pickup Trucks & Vans: %
Large commercial trucks or mobile equipment: %
ATV's, UTV's or Boats: %
 
Coverage Desired: (Check One Please)
Limits of Coverage I am Interested In:
$100,000
$300,000
$500,000
$1 Million
$2 Million or more

Medical Limit ($1000 or $5000):

Limit of open lot (vehicles held for sale) coverage needed:
$ vehicle values

Limit of garagekeepers coverage (value of vehicles in possession):
$ garagekeeper limit

Comp & Coll. Deductibles ($250, 500, 1000 ):

NOTE: Don't worry if you are not exactly sure about coverage type... we will suggest the best coverage for you - just try to tell us what you are looking for! (If we need more info. we will let you know.)
 
Comments/Remarks:

 
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