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Automobile Insurance

 

Your auto insurance is really a package of seven primary coverage's, which together make up a standard auto policy. Each of these coverage's has its own separate premium.

 
Bodily injury liability: This provides protection if you injure or kill someone while operating your car. This is coverage you want to keep at a consistent level, even as your car gets older and declines in value. In the event of a serious accident, you want enough insurance (higher limits) to protect assets that may become subject to a lawsuit.
Medical payments, no-fault or personal injury insurance: This usually pays for the medical expenses of the driver and passengers in your car.
Uninsured motorists protection: This will pay for your injuries caused by an uninsured driver or, in some states, a hit-and-run driver, in a crash that is not your fault. Given the number of uninsured motorists driving on our highways today, this is very important coverage to have, even in states with no-fault insurance.
Comprehensive physical damage insurance: This coverage will pay for damage to your car if it is stolen, or damaged by flood, fire, animals, or other covered perils.
Collision insurance: This pays for damage to your car when your car hits, or is hit by, another object. We offers a number of deductibles. You can opt for a higher deductible in order to lower your premium.
Property damage liability: This provides you with protection if your car damages someone's property, and it also provides you with legal defense.
Rental car reimbursement: This coverage helps pay the cost of renting alternate transportation if your auto is disabled in an accident for more than 24 hours.
 

Information Request Form

Select the items that apply, and then let us know how to contact you.

Send automobile insurance literature
Send company literature
Have a salesperson contact me

Name:

Title:

Company:

Phone:

Address:

E-Mail:

 

Automobile Insurance Quote

If you are interested in receiving a free quote from one of our sales representatives, please submit the follow information. You will be contacted with in 24 hours. Thank you.

Part 1: Personal Information

Name:

E-mail:

Address:

Contact Phone Numbers:

Part 2: Previous/Current Automobile Insurance

Current Insurance Carrier:

For how long:

Policy Number:

Part 3: Vehicle Information

      I. Vehicle One

Year:

Make:

Model:

Airbag(s):

 ABS
Alarm System

Vehical V.I.N. Number:

Purchase Method:

Monthly Payment:

      II. Vehicle Two

Year:

Make:

Model:

Airbag(s):

 ABS
Alarm System

Vehical V.I.N. Number:

Purchase Method:

Monthly Payment:

Part 4: Driver Information

      I. Primary Policy Holder

Name:

Birthdate (mm/dd/yy):

Social Security Number:

Drivers License Number:

Driving Experience (in years):

Vehicular Functionality:

Student:

Occupation:

Smoker:

Have you been involved in/received an accident/ticket during the last 3 years? (if yes, please explain)

II. Secondary Policy Holder

Name:

Birthdate (mm/dd/yy):

Social Security Number:

Drivers License Number:

Driving Experience (in years):

Vehicular Functionality:

Student:

Occupation:

Smoker:

Have you been involved in/received an accident/ticket during the last 3 years? (if yes, please explain)

 

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Copyright © 2003 Gill Enterprises Inc.
Last modified: 03/02/05