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Dealerships with a Lot


   Call or Submit the Below Quick Form
              770-974-0670  Office



 

-  Multiple Carriers Will Compete

-  DWard Insurance since 1988
    

     

     Our Highly Rated Insurance Carriers:   

    Hartford Auto Owners * Haulers * Progressive * Utica *

     Complete Our Quick Form Below



DEALERSHIP WITH A PHYSICIAL LOT & DEALER'S OFFICE OPERATING AT LOT
(If this is not you, go back and select "Dealer Without a Lot")
Full Legal Name of Business including any DBA
Required
First Name
Required
Last Name
Required
What is your TITLE with the company or tell us what your Relationship is to the company?
Required
Primary Phone Number
Required
E-Mail Address
Required
Mailing Address
Required
City
Required
State
Required
ZIP / Postal Code
Required
Number of Years in Business under Legal Name
Required
Business Type
Required




If Corporation or LLC, Federal ID# Required or if Sole Proprietor SSN Required
Required
Street Address of Dealership
Required
City
Required
State
Required
ZIP / Postal Code
Required
What Type of Coverage Would You Like Quoted? Select All that Apply
Optional




Do you operate an office from your physical lot?
Required


Is the Lot fenced?
Required


Do you share your lot premises with another business?
Required

If yes, what business do you share your lot premises with? If no, type "NA."
Required
Do you sell, rebuild, or repair autos with a salvage title?
Required

How Many Owners/Officers?
Required
Any Inactive Officer(s) - List full name(s) or type "NA"
Required
Number of Full-Time Clerical Employees or type "None"
Required
Number of Part-Time Clerical Employees or type "None"
Required
Number of Sales Persons or type "None"
Required
Number of Full-Time Driver(s) or type "None"
Required
Number of Part-Time Driver(s) or type "None"
Required
Number of Mechanic(s) or type "None"
Required
Number of Vehicle Washers/Detailers or type "None"
Required
Number of Non Employees 1099 or type "None"
Required
Number of Dealer Plates
Required
Driver 1 Legal Name as appears on License
Required
Date of Birth for Driver #1
Required
Driver 1 License Number
Required
Driver 1 Any violations, accidents or claims in 3 years
Required

Driver 2 Legal Name as appears on License or type "NA"
Required
Driver 2 Date of Birth or type "NA"
Required
Driver 2 License Number or type "NA"
Required
Driver 2 Any violations, accidents or claims in 3 years or select "NA"
Required


Driver 3 Name as appears on License or type "NA"
Required
Driver 3 Date of Birth or type "NA"
Required
Driver 3 License Number or type "NA"
Required
Driver 3 Any violations, accidents or claims in 3 years or select "NA"
Required


Driver 4 Name as appears on License or type "NA"
Required
Driver 4 Date of Birth or type "NA"
Required
Driver 4 License Number or type "NA"
Required
Driver 4 Any violations, accidents or claims in 3 years or select "NA"
Required


Do you employ additional drivers? If so, please send a list to dward@dwardins.com
Required

Anyone allowed to drive a Dealership vehicle home or after hours?
Required

If someone drivers a Dealership vehicle home or after hours, list name or names. If no one drives a Dealership vehicle home or after hours, type "None"
Required
Do you currently have a Garage Liability Policy?
Required

Name of current Insurance Company or type None
Required
Has there been a lapse in coverage in the last 3 years?
Required

Has the Dealership had any claims in the past 36 months
Required

What Liability Limit of Insurance do you want quoted?
Required
Does Dealership offer Buy Here Pay Here?
Required

Will you use your own money (Dealership money) to finance for customers?
Required

Does the Dealership Lease or Rent Vehicles?
Required

For the Owner - is there a personal insurance policy?
Required

If the owner has personal insurance, list the carrier's name. If the owner does not have personal insurance, type "NONE"
Required
Do you need a Bond with your Liability insurance?
Required


If you need a Bond with your Liability policy, we need your home address including City, State & Zip. If you don't need a bond, type "NA"
Required
PLEASE LET US KNOW
How did you hear about us? Please let us know
Required



If you selected "Other," tell us how you heard about us.
Required
Is there anything else that you would like for us to know concerning your quote request?
Optional
SIGNATURE REQUIRED
I have provided all of the above information for insurance purposes and I state all information is true to the best of my knowledge. I also understand that I am to discuss with the agent at D. Ward Insurance my desired limits and coverage.
By typing my name warrants my signature.
Required
ADDITIONAL INFORMATION NEEDED
After you have sumitted your quote request, we will start working on your quote and we will help assist with obtaining your claim history. The insurance carriers require us to show prior proof of coverage along with claim history.
Thank you for your time and we will be in touch with you today unless this is after hours or on the weekend.
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages.  Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company.  If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.