Auto Shops
RJ United Business Insurance Agency
13711 Van Nuys Boulevard Suite 7, Pacoima, CA 91331 | Phone (818) 834-8562 | Fax (866) 834-4442
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Contact
javier@rjunited.com
Auto Shops
General Info
Company Name:
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Contact Name:
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Address:
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City:
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State:
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AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
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MO
MT
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NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip:
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Phone:
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Cell Phone:
Fax:
E-mail:
Ownership:
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Choose...
Sole Proprietor
Partnership
Corporation
LLC
LLP
Ltd.
Coverages
Liability:
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Choose...
$500,000
$1,000,000
$2,000,000
Business Personal Property:
Choose...
$30,000
$40,000
$50,000
None
Other (specify)
Other BPP:
Garagekeepers:
Choose...
$30,000
$40,000
$50,000
None
Other (specify)
Other Garagekeepers:
Click for Workers Compensation
Federal Tax ID:
First Employee Hired Date:
General Description
Type of Operations:
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Choose...
General Auto Repair
Body Shop
Collision Repair
Transmission Shop
Other (specify)
Other Type of Operations:
Current Insurance Carrier:
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Policy Expiration:
Any Claims in the past 3 years?
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Yes
No
Yearly Gross Receipts:
# of Employees (full):
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# of Employees (part):
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Employee Payroll (excluding owners):
Years in Business:
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Years of Experience:
Hours of Operation:
# of Vehicles kept overnight:
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Provide any towing?
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Yes
No
Property Information
Location:
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Tenant
Owner
Year Built:
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Last Updates:
Construction Type:
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Choose...
Wood Frame
Concrete
Joisted Masonry
Non-Combustible
Total Square Feet:
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# of Lifts/Bays:
Sprinkler System:
Yes
No
Alarm System:
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Central Monitored
Local Alarm
None