Commercial Truck Company Review - JDW Truck Insurance

Truckers Insurance Quote Request

Tell us about the equipment you want to insure?
Truck #1 Information:
Truck #1 is a:(Required)
Semi-truck
Box truck (two box trucks required to request quotes)
Dump truck
Truck #1 VIN#?(Required)

Truck #1 Make?(Required)

Truck #1 Year?(Required)

Truck #1 Stated Value?(Required)

Truck #1 is:(Required)
We may need to add a Loss Payee
Company owned - (not finance or leased}
Financed and/or leased
Is leased on by one of our drivers
Truck #2 Information:
Truck #2 is a:(Required)
Semi-truck
Box truck (two box trucks required to request quotes)
Dump truck
Truck #2 Make?(Required)

Truck #2 Year?(Required)

Truck #2 Stated Value?(Required)

Truck #2 is:(Required)
We may need to add a Loss Payee
Company owned - (not finance or leased}
Financed and/or leased
Is leased on by one of our drivers
Truck #3 Information:
Truck #3 is a:(Required)
Semi-truck
Box truck (two box trucks required to request quotes)
Dump truck
Truck #3 VIN#?(Required)

Truck #3 Make?(Required)

Truck #3 Year?(Required)

Truck #3 Stated Value?(Required)

Truck #3 is:(Required)
We may need to add a Loss Payee
Company owned - (not finance or leased}
Financed and/or leased
Is leased on by one of our drivers
Trailers
Do you need to add trailers(Required)
We need to insure trailers we own or lease
We used non-owned trailers
We need trailer interchange
We do not use trailers
Add Trailers:
How many trailer do you need to add?(Required)
You can add up to 4 trailers here. If to need to add more. We can add as we begin requesting quotes.
Add 1 trailer
Add 2 trailers
Add 3 trailers
Add 4 trailers
Trailer #1 Information:
Trailer #1 is a?(Required)
Trailer #1 VIN#?(Required)

Trailer #1 Make?(Required)

Trailer #1 Year?(Required)

Trailer #1 is?(Required)
We may need to add a loss payee
Company owned - not financed or leased
Financed or Leased
Leased on by one of our drivers
Trailer #2 Information:
Trailer #2 is a?(Required)
Trailer #2 VIN#?(Required)

Trailer #2 Make?(Required)

Trailer #2 Year?(Required)

Trailer #2 Stated Value?(Required)

Trailer #2 is?(Required)
We may need to add a loss payee
Company owned - not financed or leased
Financed or Leased
Leased on by one of our drivers
Trailer #3 Information:
Trailer #3 is a?(Required)
Trailer #3 VIN#?(Required)

Trailer #3 Make?(Required)

Trailer #3 Year?(Required)

Trailer #3 Stated Value?(Required)

Trailer #3 is?(Required)
We may need to add a loss payee
Company owned - not financed or leased
Financed or Leased
Leased on by one of our drivers
Trailer #4 Information:
Trailer #4 is a?(Required)
Trailer #4 VIN#?(Required)

Trailer #4 Make?(Required)

Trailer #4 Year?(Required)

Trailer #4 Stated Value?(Required)

Trailer #4 is?(Required)
We may need to add a loss payee
Company owned - not financed or leased
Financed or Leased
Leased on by one of our drivers

Tells us about your Drivers
Owners Information:
Does the owner drive?(Required)
Yes
No
Has the owner had in the past 5 years a DUI / DWI, Reckless Driving / Racing, Evading Police, Hit and Run, Driving on a Suspended License, Vehicular Manslaughter or Homicide, More then 2 At Fault Accidents(Required)
Yes
No
We cannot offer quotes if the owner who is a driver has had any of these violations in the past 5 years.
Owners drivers license #?(Required)

Drivers License # of owner?(Required)
This information is required if the owner is a driver or not.

Driver license of owner issued from which state?(Required)
Owners drivers license issued from which state?(Required)
Owner date of birth?(Required)
Date of birth of owner?(Required)
This information is required if the owner is a driver or not.
Owner has which type of driver license?(Required)
Class A CDL
Class B CDL
How many years has the owner had a Class A CDL?(Required)

How many years has the owner had a Class B CDL?(Required)

Owner drivers license is a?(Required)
Class A CDL
Class B CDL
Non-CDL
Number of years has the owner had a Class A CDL?(Required)

Number of years has the owner had a Class B CDL?(Required)

Owner drivers license number is?(Required)

Owners drivers license insured from?(Required)
Owners date for birth?(Required)
Owners driver license is which?(Required)
Class A CDL
Class B CDL
# of years owner has had a Class A CDL?(Required)

# of years owner has had a Class B CDL?(Required)

Drivers Information:
Do you need to add drivers?(Required)
Yes
No
How many drivers do you need to add?(Required)
You can add up to 3 drivers. If you need to add more drivers. We can add them as we start requesting quotes.
Add 1 driver
Add 2 drivers
Add 3 drivers
Driver #1 Information:
Driver #1 full name?(Required)

Driver #1 drivers license number?(Required)

Driver #1 date of birth?(Required)
Driver #1 drivers license issued from which state?(Required)
Driver #1 has a?(Required)
Class A CDL
Class B CDL
Driver #1 has had their Class A CDL how many years?(Required)

Driver #1 has had their Class B CDL how many years?(Required)

Driver #1 is?(Required)
Company driver (drives a company owned truck)
Owner operators leased onto our company
Driver #1 hire date?(Required)
Driver #2 Information
Driver #2 full name?(Required)

Driver #2 drivers license number?(Required)

Driver #2 date of birth?(Required)
Driver #2 drivers license issued from which state?(Required)
Driver #2 has a?(Required)
Class A CDL
Class B CDL
Driver #2 has had their Class A CDL how many years?(Required)

Driver #2 has had their Class A CDL how many years?(Required)

Driver #2 is?(Required)
Company driver (drives a company owned truck)
Owner operators leased onto our company
Driver #2 hire date?(Required)
Driver #3 Information:
Driver #3 full name?(Required)

Driver #3 drivers license number?(Required)

Driver #3 date of birth?(Required)
Driver #3 drivers license issued from which state?(Required)
Driver #3 has a?(Required)
Class A CDL
Class B CDL
Driver #3 has had their Class A CDL how many years?(Required)

Driver #3 has had their Class CDL how many years?(Required)

Driver #3 is?(Required)
Company driver (drives a company owned truck)
Owner operators leased onto our company
Driver #3 hire date?(Required)

Cargo
Do you haul general freight (day van)?(Required)
Yes
No
What general freight cargo are you hauling(Required)
Air Conditioning Equipment
Air Freight (Mail, UPS, & FedEx)
Amazon Goods
Appliances-- Major
Appliances-- Small
Audio, Video & Studio Equipment
Auto Parts & Accessories (not Tires)
Bakery Goods & Products
Beverage-- Beer
Beverage-- Liquor
Beverage-- Non-Alcoholic
Beverage-- Wine
Bottles-- Glass
Bottles-- Plastic
Candy & Confectionary (SL)
Cable & Wire (not Copper/Fiber Optics)
Camera Supplies & Accessories
Clothing-- Athletic (SL)
Clothing-- Blue Jeans (SL)
Clothing-- Designer, Clothing-- T Shirts (SL)
Computer-- Desktop (SL)
Computer-- Games & Software (SL)
Computer-- Gaming Systems (SL)
Electronic-- Accessories
Fashion Accessories (SL)
Furniture (new from factory)
Glass
Groceries (other than produce)
Handbags (SL
Hardware
Hazmat (two year hazmat endorsement required)
Lawn and Garden Equipment (SL)
Leather and Leather Goods
Machinery (Light & Non-precision)
Medical Diagnostic Equipment (SL)
Medical Supplies (not Medicine or Drugs) (SL)
Office Equipment
Office Supplies
Optical Goods (SL)
Oriental Rugs
Paper, Paper Products & Printed Matter
Pharmaceutical Products-- Over the Counter (SL)
Plants-- Trees & Shrubs (other than Temp Controlled)
Plastic Products
Plumbing Supplies (other than Copper)
Produce (other than refrigerated)
Purses, Handbags, Wallets & Belts (SL)
Rubber Products (other than Tires)
Signs (SL)
Shoes (other than Designer & Athletic (SL)
Sporting Goods/Equipment
Stereos & Radios
Televisions
Textiles (Cloth)
Tires (SL)
Tobacco (unrefined)
Toiletries
Tools
Toys (Hobbies & Crafts)
Wood Products (other than Furniture)
Do you haul flatbed cargo?
Yes
No
What flatbed cargo are you hauling?(Required)
Agricultural Equipment
Building Materials
Coiled Steel
Contractors Equipment
Copper and Copper Products (Flatbed)
Flatbed Cable & Wire (not Copper/Fiber Optics)
Flatbed Cable & Wire - Fiber Optics
Landscaping Product
Machinery-- Heavy > 10,000 lbs (flatbed)s
Lumber, Pallets & Wood (processed)
Machinery-- Light < 10,000 lbs (flatbed)
Metal (other than Copper)
Oversized/Overweight Loads
Pipe (other than Copper)
Printing Presses
Rigging (any property requiring)
Solar Panels (SL required)
Stone Slab/Products (Marble, etc.)
Swimming Pools, Spas & Hot Tubs
Trailers (New for delivery)
Transformers
Turbines
Do you haul Reefer cargo?
Yes
No
What reefer cargo are you hauling?(Required)
Butter
Dairy Products
Eggs
Frozen Food (other than Meat & Seafood)
Ice Cream
Juice
Meat-- Boxed
Meat-- Hanging/Swinging
Milk
Plants-- Cut Flowers
Plants-- Trees & Shrubs
Poultry
Produce
Seafood-- Fresh (other than Canned Seafood)
Seafood-- Frozen (other than Canned Seafood)
Do you haul hazmat cargo?(Required)
Yes
No
If this is for a New Authority hauling hazmat. Here are some general guideline as what is required to haul hazmat.
- Owner must be a driver
- All driver must have had their hazmat endorsement for at least two years.
- Some growth allowed. They like mainly company owed trucks but is some cases will allow owner operators.
What hazmat cargo are you hauling?(Required)
Class 1
Class 2
Class 3
Class 4
Class 5
Class 6
Class 7
Class 8
Class 9
Do you haul UIIA Intermodal cargo?(Required)
Yes
No
What is your SCAC Code?(Required)

Do you haul dump truck cargo?(Required)
Yes
No
What dump truck cargo are you hauling?(Required)
Dirt, sand gravel or ?

Document upload
To request bindable quotes we need the following information. If you do not have it at hand. Send what you have and we can get the quoting process going.
We need
- Loss runs reports
- Last 4 quarters of your IFTA reports (if required to file)

Drop files here or

Max. file size: 1 GB.

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Company Information

Tell us about the equipment you want to insure?

Truck #1 Information:

Truck #2 Information:

Truck #3 Information:

Trailers

Add Trailers:

Trailer #1 Information:

Trailer #2 Information:

Trailer #3 Information:

Trailer #4 Information:

Tells us about your Drivers

Owners Information:

Drivers Information:

Driver #1 Information:

Driver #2 Information

Driver #3 Information:

Cargo