Independent Contractor Submission Requirements

• Cover Letter - overview of coverage, limits and deductibles desired for quotation (ie.Auto Liability, General Liability, Cargo Legal Liability and Umbrella)
• Last Mile Independent Contractor Supplemental Application
• Loss History Requirement: Fleets under 5 units do not require loss runs but will get better pricing if provided. Fleets over 5 vehicles either need a loss statement from the insured by line of coverage (see box on supplemental application} or hard copy company loss runs.
• Additional Vehicle/Driver Information - If operation has more then 3 drivers or vehicles please complete this form
• Driver Eligibility Requirements for Program
• Last Mile Long Haul Questionnaire (Complete on account radius exceeds 300 Miles) –
• Workers Compensation Submission’s require a completed Acord application, 4 years of loss history, and a current Experience Modification Worksheet.
• Last Mile Other Operations Questionnaire (Complete if you have operations not related to prime motor carrier)