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Dealers Without a Physical Lot


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



-  Multiple Carriers Will Compete
-  Contact Same Business Day
-  Talk with a Real Person
-  DWard Insurance since 1988

Our Highly Rated Insurance Carriers:   

Hartford Auto Owners * Travelers * Safeco * Progressive * Utica * Main Street *

American Strategic * United States Liability * Mercury * AmTrust North America *




    DEALERSHIP WITHOUT A PHYSICAL LOT
    (If this is not you, go back and select "Dealer With 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 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.

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