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A. Fleet - 350 or more
power units: Any Class of Transportation
1.
Auto Physical Damage and/or Motor Truck Cargo with minimum
$5,000 deductibles (except $1,000 deductible for
independent contractor owner/operators) and non-trucking
liability;
2.
Multi-Line including at a minimum Workers' Compensation
and Auto Liability with a minimum Self Funded Guarantor
Responsibility (SFGR) of $50,000;
3. Auto
Liability, without Workers' Compensation, with at least
350 power units and a minimum SFGR of $50,000;
4. Workers'
Compensation, without Auto Liability, with at least 600
covered drivers and a minimum SFGR of $50,000;
5. Application(s)
for line(s) of coverage, including any supplemental
applications
6.
MVR for each driver (current within last 60 days);
7. Detailed
loss information (minimum 5 full years plus the current
year backed up by loss runs evaluated within last 90 days)
providing for each accident/occurrence the date of loss,
status (open or closed) and incurred amount (paid and
reserved) for indemnity and expense with a detailed
description of all incurred losses in excess of $25,000;
8. Financial
information for the last two full years plus interim for
the current year (CPA audited statements are preferred,
and if not audited, additional information may be
required);
9.
Schedule of employed and hired drivers (separated) to
include name, date of birth, license number, total years
of experience in type of auto currently driving and date
of hire;
10. Schedule
of all owned, leased, non-owned and hired autos (separated
by type) to include year, make, model, garaging location,
licensed weight classification, radius of operation, and
if over 200 miles radius of operation, the maximum point
(location) of travel from the garaging location;
11. Copy
of all contracts to include permanent leases, trip leases,
bill of lading and hold harmless agreements;
12. Copy
of all documents and manuals related to hiring, training,
driver testing, drug testing, maintenance of driver files
and logs, maintenance of autos, safety procedures,
surveillance and monitoring capabilities, accident
reporting, driver incentive programs and procedures for
the termination;
13. A
summary of exposure data for the last five policy periods,
current policy period and projected policy period for
number of power units and trailers (separately); mileage;
gross revenue; payroll; and as respects physical damage,
total stated amount values;
14. Where
applicable, fuel tax reports (Schedule B) listing mileage
by state and list commodities hauled by percentage,
revenue and mileage for the prior five full years, current
year and projected for the next year;
15. Where
applicable, a current copy of any state and/or federal
compliance review and/or safety rating notices such as CAB
(Central Analysis Bureau); D.O.T. "SAFER" (Safety and
Fitness Electronic Records) report and FMCSA (Federal
Motor Carrier Safety Administration) "SafeStat" report, a
copy of the last safety compliance review conducted by FMCSA personnel and a copy of the motor carrier's safety
rating notification;
16. Last,
but not least, a cover letter detailing, at a minimum, the
history of the applicant including any name changes,
mergers or acquisitions; description of operations
including any changes over the last five years; the focus
of the applicant as respects their client base,
commodities hauled and routes traveled; how long has the
broker known the applicant and who is the "key" contact;
and what are the primary factors necessary for the
applicant to change his insurer? |
