Garage Insurance Application | Travis Ridge Insurance Group

Your Contact Information

Required for our team to follow up.

Your Name *

Business / DBA *

Email *

Phone *

Proposed Effective Date

1. Applicant Information

Owner(s) — include all

Business Entity

Mailing Address

Inspection Contact (Name & Phone)

Website

Dealer ID #

FEIN

Years in Business

Years of Experience

If less than 3 years experience, explain prior experience / training

Business Description

2. Locations

Location #1

Physical Address (street, city, state, zip)

Operations at this location

Vehicle theft barriers / storage

Unprotected

Post & Cable

Fence/Gate

Building

Fence/Gate must be min 6ft high.

3. Prior Carrier & Loss History

No prior coverage

Current Carrier

Policy Dates

Target Premium

Prior Carrier (last yr)

Policy Dates

Premium

Prior Carrier (2 yrs ago)

Policy Dates

Premium

Claims (last 3 years)

No claims added. Attach loss runs after submission, or describe in notes.

Has insurance for this operation been cancelled, declined, or non-renewed in the past 3 years?

Yes

No

4. Security, Protection & Operations

Are animals maintained on premises?

Yes

No

Are firearms kept on person or on premises?

Yes

No

Do you have serviced and charged fire extinguishers on premises?

Yes

No

Are autos stored on premises after normal business hours?

Yes

No

Do you store/display autos at locations other than those above?

Yes

No

Do you park your or customers' vehicles on the street?

Yes

No

Are keys kept in a secure location with no access by unauthorized persons?

Yes

No

Do you leave keys in or on unattended vehicles (incl. key lockboxes)?

Yes

No

Is any work performed off-premises (roadside / customer location)?

Yes

No

Do you share a lot/location with any other business(es)?

Yes

No

5. Owners, Employees & Drivers

List ALL owners, employees, drivers, helpers, household members, and 1099 employees. Hours: FT (>20)/PT (≤20)/N (non-employee). Auto Use: A (covered for personal) / B (business only) / C (excluded).

Person #1

Name (First Last)

Loc #

DL #

State

DOB

Hours

Job Duties (1-14)

Auto Use

CDL

PAP

Violations / Accidents (prior 3 yrs)

6. Description of General Operations

Do you own, work on, sponsor, or advertise any vehicles used in racing events?

Yes

No

Do you lease or rent vehicles to others?

Yes

No

Do you provide/offer loaner autos? (does not apply to test drives)

Yes

No

7. Annual Receipts by Operation

Enter projected annual receipts for each operation that applies.

Repair

Body / Paint

Part Sales (installed)

Part Sales (not installed)

Tire Sales (installed)

Tire Sales (not installed)

Vehicle Sales

Towing

Other (describe)

Other receipts

10. Coverages & Limits Requested

General Liability — per occurrence

Covered Autos Liability

GL Aggregate

Products & Completed Ops Aggregate

Med Pay — Auto

Med Pay — Premises

Uninsured/Underinsured Motorists

Garagekeepers Limit

Garagekeepers Basis

Legal Liability

Direct Primary

Direct Excess

Dealers Open Lot Limit

Loss History & Additional Notes

Loss history details (or "None")

Anything else our underwriters should know?

Garage Application

Your Contact Information

1. Applicant Information

2. Locations

3. Prior Carrier & Loss History

4. Security, Protection & Operations

5. Owners, Employees & Drivers

6. Description of General Operations

7. Annual Receipts by Operation

10. Coverages & Limits Requested

Loss History & Additional Notes