Mobile Food Truck Insurance Online Application

Contact us at (888) 678-6384 or send us an email

Contact us at (888) 678-6384

required*

Contact & Business Information

Name of Insured*

Doing Business As

First Name*

Last Name*

Phone*

Email*

Website or Facebook Address*

www.

Mailing Address*

Please provide a valid address

Zip Code*

Please provide a valid zip code

City*

State*

Please select a state

Entity Type*

Corporation

SubChapter S

LLC

Partnership

Joint Venture

Individual

Proposed Effective Date*

How did you hear about us?*

Prior Carrier Section

Any losses in the past 3 years?

Yes

General Liability

Company

Effective Date (mm/yyyy)

Policy Number

Premium

Amount of Loss

Automobile

Company

Effective Date (mm/yyyy)

Policy Number

Premium

Amount of Loss

Property

Company

Effective Date (mm/yyyy)

Policy Number

Premium

Amount of Loss

Any policy or coverage declined, cancelled, or non-renewed in the past 3 years?

Yes

required*

Driver Information (minimum age 21)

Concessionaire

Description of operations

How many years has the applicant been at the current location

Liability limits

$100K - $200K

$300K - $600K

$500K - $1M

$1M

$1M - $2M

$1M - $3M

$2M

$2M - $3M

Type of stand

Indoor (Airport, Bus Terminal, Museum, Office Building, Rest Stop, Shopping Mall, Train Station, etc.)

Outdoor (Athletic Fields, Beaches, Public Parks, Public Streets/Sidewalks, School Campuses)

Fair of Flea Market Vendor

Seasonal Lot or Tent (Christmas Trees, Flowers, Pumpkins) - 90 day term

Annual Sales

Do you sell any of the following products?

Yes

•Collectables or Memorabilia

•“Home Made” Products

•Hearing Aids

•Toys

•Goods Manufactured by applicant

•Under own Brand or Label

•Any Products Directly Imported by Applicant

•Goods Packaged, or Prepackaged by Applicant

•Optical Goods (Prescription)

•Hobby or Craft

•Used or Refurbished Products

Any losses in the last 3 years?

Yes

Contact us at (888) 678-6384 or send us an email

Contact us at (888) 678-6384

Contact us at (888) 678-6384

Qualify Me Now

Garage Location

Contact & Business Information

Prior Carrier Section

General Liability

Automobile

Property

Operations Section

Property

General Liability Coverage

Auto Section

Physical Damage

Driver Information (minimum age 21)

Vehicle (Truck) Questions

Vehicles

Concessionaire

Loss Information