Requesting Quote - Auto Insurance Coverage

Dear …

RE: Auto Insurance Policy # __(Policy #)__ Name – (Policy Holder Name)__

__(Name of Organization)__ will be purchasing an additional vehicle to add to our current policy. Please provide a quotation on the following vehicle:

Vehicle: __(year/make/model)__

Est. Purchase Price: __($amount)__

Use: __(Brief description of type of use and area it will be driven in

Driver: __(brief description of driver: age/# yrs lic’d/driving record/claims history) Please provide us with a written quotation based on the insurance coverage detailed below. Please ensure the cost breakdown includes not only the annual cost but also the pro-rated cost until end of this policy term. Thank you.

Third Party Liability __($amount i.e. $1,000,000/etc.)__

Accident Benefits

Collision __($amount)__ deductible – covering my own vehicle in an accident

Comprehensive __($amount)__ deductible – covering fire, theft, vandalism, etc.

Glass __(included/excluded)__ in the Comprehensive coverage above

Family Protection Endorsement

Waiver of Depreciation Endorsement - this is a brand new vehicle

Loss of Use Endorsement – for alternate transportation in the event of loss or damage to my vehicle

In addition to the above mentioned coverage, I would appreciate a quotation on optional coverage that I am considering as shown below:

__(list other coverages you wish to consider – e.i. Emergency Road Service Endorsement/etc.) Please __(email/fax)__ this information to me at __(email address/fax number)__. I thank you in advance for you quick response to this request and look forward to hearing from you soon.

Yours truly,

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