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Commercial Auto Quote — Fusco Insurance

Vehicles, drivers, and how the vehicles are used — that's what prices a commercial auto policy. Tell us once, in plain English: your answers go straight into the standard industry application (ACORD 125 + the business auto section), and we shop your quote and come back with real numbers. No obligation, and no coverage is bound by this form. Takes about 8–10 minutes with your vehicle list and driver list in front of you. Driver's license numbers are never asked on this form — we collect those securely later, only if a quote moves forward.

Business

Contact name

Contact email

Contact phone

Business legal name

DBA, if any

Entity type

State where the business is located

Mailing address

Years in business

What does the business do, and what are the vehicles used for?

Requested effective date

Vehicles

Year, make, and model

Body type

VIN (17 characters, on the registration or insurance card)

What the vehicle cost new (or what you paid, if you don't know)

Garaging address (where it sleeps - if different from the business address)

How far does it travel for business?

Vehicle use

Any special equipment, modifications, or signage permanently attached?

A
B

If yes, please describe the equipment or signage

If yes, its value

Is the vehicle owned, leased, or financed?

Lessor/loss payee name, if any

Vehicle 2 (optional second vehicle)

Year, make, and model

Body type

VIN (17 characters)

What the vehicle cost new (or what you paid)

Garaging address (where it sleeps)

How far does it travel for business?

Vehicle use

Any special equipment, modifications, or signage permanently attached?

A
B

If yes, please describe

If yes, its value

Is the vehicle owned, leased, or financed?

Lessor/loss payee name, if any

Additional vehicles (3rd and beyond): for each, list year, make, model, body type, VIN, cost new, garaging address, radius, use, special equipment and its value, and owned/leased/financed

Drivers

Driver full name

Date of birth (required for rating/MVR)

State that issued the driver's license

Years of driving experience (approximate)

Which vehicle(s) does this driver mainly drive?

Any tickets, violations, accidents, or license suspensions in the last 5 years?

A
B

For each: year + what happened

Driver 2 (optional second driver)

Driver full name

Date of birth

State that issued the driver's license

Years of driving experience (approximate)

Which vehicle(s) does this driver mainly drive?

Any tickets, violations, accidents, or license suspensions in the last 5 years?

A
B

For each: year + what happened

Additional drivers (3rd and beyond): for each, list full name, date of birth, license state, years of driving experience, vehicles mainly driven, and any tickets, violations, accidents, or license suspensions in the last 5 years

Does any driver use a company vehicle for personal use, or take it home?

A
B

Coverage & current policy

Liability limit wanted

Physical damage wanted?

Deductibles

Uninsured/underinsured motorist + medical payments/PIP preferences

Do you need hired & non-owned auto coverage? (Employees driving their own cars on your business, or rented vehicles)

A
B
C

Do you have commercial auto insurance now?

A
B

If yes: current carrier

If yes: current policy expiration date

Any auto claims in the last 5 years (any vehicle/driver)?

A
B

For each claim: year, what happened, amount

Do you file, or are you required to file, any federal or state financial-responsibility filings (e.g., ICC/MCS-90, state filings)?

A
B
C

Do you haul hazardous materials, passengers for hire, or goods for others across state lines?

If yes, please describe