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Commercial Automobile

Public Auto - Liability

For taxi risks, please complete the Taxi Supplemental.  For all other risks, please complete the online submission below.

Online Submissions

 

Commercial Automobile

Public Auto - Liability

Online Submissions  Please also see the "Applications for Quotes" tab for any additional required supplemental applications.

NAI has liability markets for the following states: Alabama, Arkansas, Florida, Georgia, Kentucky, Mississippi, Missouri, Oklahoma, South Carolina, Tennessee, and West Virginia

Target Classes:

  • Airport Shuttle
  • Ambulances (supplemental application required)
  • Church Buses / Vans
  • Day Care
  • Employee Transportation
  • Intercity Bus
  • Limousines
  • Non-Emergency Medical (supplemental application required)
  • School Buses
  • Sightseeing Van
  • Taxis (taxi application required)

Coverages:

  • Auto Liability
  • General Liability (Property and General Liability Department)
  • Physical Damage

Companies: (vary by state)

  • Argonaut Midwest
  • Carolina Casualty
  • CNA
  • Scottsdale / National Casualty
  • Zurich

 

Commercial Automobile

Public Auto - Liability

ACORD APPLICATIONS

Acord 125

Acord 126

Acord 137AL

Acord 137FL

Acord 137GA

Acord 137IL

Acord 137IN

Acord 137KY

Acord 137LA

Acord 137MO

Acord 137MS

Acord 137NC

Acord 137OH

Acord 137SC

Acord 137TN

Acord 137VA

Acord 137WV

Acord 63

 

ARGONAUT MIDWEST APPLICATIONS

Argonaut Commercial Auto Application - Required for all accounts along with the appropriate supplemental application

Argonaut AL  UM form

Argonaut Contingent Leasing Application

Argonaut Driver Training supple,emt

Argonaut FL UM form

Argonaut GA UM form

Argonaut KY UM form

Argonaut Low Speed Vehicle application (Florida only)

Argonaut Low Speed Vehicle Inspection form (Florida only)

Argonaut MS UM form

Argonaut New Venture supplement

Argonaut Public Auto supplement

Argonaut TN UM form

Argonaut VA UM form

 


CAROLINA CASUALTY INSURANCE COMPANY APPLICATIONS

CCIC AL UM form

CCIC Commercial Auto application

CCIC FL PIP form

CCIC FL UM form

CCIC GA UM form

CCIC General Liability supplement

CCIC GA UM Acknowledgment

CCIC KY UM form

CCIC MS UM form

CCIC MS UM form (stacked)

CCIC Non Emergency Transportation supplement

CCIC Public Auto application

CCIC TN UM form

 

CNA APPLICATIONS

CNA AL UM form

CNA Limo application

CNA Taxi application

 

ESSEX APPLICATIONS

Essex Taxi supplement

Essex Terrorism form

 

PRIME INSURANCE

Taxi

Vehicle Schedule

 

SCOTTSDALE INSURANCE COMPANY APPLICATIONS

Scottsdale AL UM Election form

Scottsdale Ambulance supplemental

Scottsdale Commercial Auto application

Scottsdale FL UM form

Scottsdale GA UM fom

Scottsdale Limo & Airport Shuttle

Scottsdale MS UM form (stacked)

Scottsdale MS UM form

Scottsdale Non Emergency Medical application

Scottsdale Public Auto, Sightseeing, Charter, Intercity Buses

Scottsdale Public Auto (all other risks)

 

ZURICH AMERICAN INSURANCE
(Submit with the Acord 63 and State Specific Acord 137)

Zurich AL UM form (rejection)

Zurich FL UM form (stacked)

Zurich FL PIP form

Zurich GA UM form

Zurich KY PIP form

Zurich KY UM Rejection form

Zurich MS UM form

Zurich Public Auto questionnaire

Zurich Public Auto Renewal questionnaire

Zurich SC UM form

Zurich TN UM form

Zurich WV UM form

Commercial Automobile

Public Auto - Liability

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