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Garage Owners Quote 

Garage Owners Quote Request
Contact Information
 
First Name:
 
Last Name:
 
Daytime Telephone:
 
Evening Telephone:
 
Email:
 
Address:
 
City:
 
State:
 
Zip:
  Years In Business:
  Years Sales/Repair Experience:
  Business Entity:
Individual
Partnership
Corporation
  Describe your Operations:
  Locations where you conduct Garage Operations: 
Location 1:
Location 2:
Underwritting Information List of Drivers (Owners, Employees, Family)
 
Name  
Drivers License State of License:
Date of Birth Furnished Auto:
YES NO
Job Description and / or Relation: Past 3 Years Number of:
  Accidents :
Citations:
 
Name  
Drivers License State of License:
Date of Birth Furnished Auto:
YES NO
Job Description and / or Relation: Past 3 Years Number of:
  Accidents :
Citations:
 
Name  
Drivers License State of License:
Date of Birth Furnished Auto:
YES NO
Job Description and / or Relation: Past 3 Years Number of:
  Accidents :
Citations:
 
Name  
Drivers License State of License:
Date of Birth Furnished Auto:
YES NO
Job Description and / or Relation: Past 3 Years Number of:
  Accidents :
Citations:
 
Name  
Drivers License State of License:
Date of Birth Furnished Auto:
YES NO
Job Description and / or Relation: Past 3 Years Number of:
  Accidents :
Citations:
   
Name  
Drivers License State of License:
Date of Birth Furnished Auto:
YES NO
Job Description and / or Relation: Past 3 Years Number of:
  Accidents :
Citations:
Sales
  Where do you purchase vehicles?
  Who drives or tows vehicles to your lot?
  How many times per year do you drive-away more than 300 miles from point of purchase?
  How many vehicles do you sell per year?
  How many of those are on consignment?
  What is your normal radius of operation?
  What is your sales mix?
a. cars, sport utility, pickups, vans
%
d. trucks, tractors, semi-trailers
%
b. motor homes % e. salvage parts %
c. travel trailers, camp trailers
%
f. other
%
  Describe your theft barriers (fence & gate or post & cable)
  Describe your key controls
  How many dealer plates do you have?
  Do you repossess vehicles? YES NO
If yes, explain
  Do you sell "salvage titled" vehicles? YES NO
If yes, what percentage of vehicles require:
% cosmetic repair
% mechanical repair
% structural repair
  Do you always ride along on test drives? YES NO
Services
  What percentage of your work is:
Body/Paint % Muffler %
Tune Up % Radiator %
Transmission % Wheel Alignment %
Brakes % Oil & Lube %
Sound System
%
Window Tint
%
Tires % Upholstery %
Wash/Detail
%
Other
%
Describe:
  Do you sell gasoline: YES NO
or LPG: YES NO
If yes, how many gallons:
  Do you install trailer hitches? YES NO
  Do you have a spray paint booth? YES NO
If yes, is it U/L approved? YES NO
Is it ventilated? YES NO
  Do you recap tires or sell recapped tires? YES NO
  Do you tow for hire? YES NO
If yes, explain
  Describe lot security and key controls
Prior Carrier and Loss History for 3 Years
  Current Carrier:
Policy Period:
Policy Premium:
  Prior Carrier:
Policy Period:
Policy Premium:
  Prior Carrier:
Policy Period:
Policy Premium:
  Date of Loss:
Amount:
Description of Loss:
  Date of Loss:
Amount:
Description of Loss:
Date of Loss:
Amount:
Description of Loss:
Coverage Requested
 
Garage Liability
$
 
Each accident $  
Aggregate, Deductible
$
 
 
(Legal Liab.) Garage-keepers
$ per location
 
SCL $ deductible  
Collision
$ deductible
  
 
Dealers Physical Damage
$ per location
 
SCL $ deductible  
Collision
$ deductible
  
  Type: 
New
Used
  Interests Covered: 
Owner
Owner and Creditor
Consignment Owner
 
Premises Medical Payments $1,000
Specifically Described Autos:
 
Veh.No. Year Make
Body Type
ACV
V.I.N.
 
Veh.No. Year Make
Body Type
ACV
V.I.N.
 
Veh.No. Year Make
Body Type
ACV
V.I.N.
 
Veh.No. GVW Radius
Use
Loss Payee   
 
Veh.No. GVW Radius
Use
Loss Payee   
 
Veh.No. GVW Radius
Use
Loss Payee   
  Uninsured Motorist: $
  Personal Injury Protection: $
  Fire Legal Liability: $ 50,000
  Buy-backs:
GK Transit Limit: $
Drive-Away Miles: $
Value per Auto: $
  Remarks:
Comments or Questions:
Deliver quote via: 
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No coverage of any kind is bound or implied by submitting information via this online form
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Exceptional savings for "average" people.

“I use Winooski Insurance personally and also refer them to my clients. Their rates are very competitive and their staff is friendly and effi cient.”

Mark Chaffee
Mortgage Financial, Inc.

“When I switched my home and auto coverage to Winooski Insurance, they didn’t just try to sell me the same policy. They asked me the right questions to get me better coverage, while saving me money. I feel confi dent that they shop the best price for me each year.”

Sue Gosselin
Colchester, VT.


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