Skip to content
1.888.822.2646
|
policy@mangoinsurance.ca
LinkedIn
Facebook
Home
Business Insurance Quote
Commercial Auto & Trucking Insurance Quote
Personal Auto Insurance Quote
Home Insurance Quote
Restaurant Insurance Quote
Cannabis Insurance Quote
Business Insurance
Accountants Insurance
Apartments Insurance
Architects Insurance
Banks Insurance
Barber Shops Insurance
Beauty Shops Insurance
Breweries Insurance
Camps Insurance
Carpenters Insurance
Civil Engineers Insurance
Confectioners Insurance
Convenience Stores Insurance
Dentists Insurance
Engineers Insurance
Garages Insurance
Golf Course Insurance
Jewellers Insurance
Libraries Insurance
Medi Spas Insurance
Municipalities Insurance
Paving Contractors Insurance
Property Managers Insurance
Theatres Insurance
Automobile Dealer Insurance
Automobile Repairs Insurance
Bars Insurance
Caterers Insurance
Electrical Contractors
Excavating Contractors
Hotels Insurance
Janitorial Services Insurance
Kindergartens Insurance
Landscape Contractors Insurance
Logging Operations Insurance
Painters Insurance
Parking Lots
Pizzerias Insurance
Plumber Insurance
Printers Insurance
Road Contractors Insurance
Roofing Contractors Insurance
Universities Insurance
Wineries Insurance
Construction Equipment Insurance
Dairies Insurance
General Contractors Insurance
Radio Stations
Refineries Insurance
Restaurants Insurance
Supermarkets Insurance
Carpenters Insurance
Condominium/homeowners Insurance
Quotes
Alternative Workmen Compensation – Buy Online
Truckers Downtime Protection – Buy Online
Professional Liability or Errors and Omissions ( E&O ) Insurance
Commercial Vehicle Insurance
Directors and Officers Liability Insurance
Cyber Insurance
Builder Risk or Course of Construction ( COC ) Insaurance
Property and Casualty Insurance
Trucking Insurance
Products
Alternative Workmen Compensation
Truckers Downtime Protection
Automobile Insurance
Business Interruption Insurance
Commercial Auto Insurance
Commercial General Liability Insurance
Contractor-controlled Insurance Programs (Ccip)
Crime Insurance
Cyber Liability Insurance
D&O Insurance
Equipment Breakdown Insurance
Overland Flood Insurance
Owner-Controlled Insurance Programs
Product Liability Insurance
Trade Credit Insurance
Homeowners Insurance
Contact Us
Certificate Request
Policy Change
Jobs at Mango Insurance
Commercial Vehicle Insurance-converted
laxmikant
2020-08-17T12:06:20+00:00
Commercial Vehicle Insurance
This form enables users to input data for getting Commercial Vehicle Insurance.
Step
1
of
5
20%
Name of your company or Your name
*
Your Email
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
1. BUSINESS OF INSURED
YEARS OF EXPERIENCE AS OWNER OPERATOR
*
YEAR OF BUSINESS STARTED
*
2. BUSINESS OF INSURED
GARAGING LOCATION ADDRESS
3. AUTOMOBILE LIST
Automobile Details
*
Year
Make
Model
Serial Number
Current Market Value
Purchase Month/ Year
Use
COMMODITIES TRANSPORTED
(if vehicle carries explosives, nuclear/radioactive material or dangerous goods, identify which goods are carried and complete, sign and attach appropriate questionnaire)
MERCHANDISE CARRIED AND PERCENTAGE USE REMARKS SECTION IF MORE SPACE REQUIRED
(%)
(%)
(%)
HAULING FOR OTHERS
HAULING DONE FOR OTHERS? IF SO, PROVIDE FREQUENCY
*
NEVER
DAILY
WEEKLY
MONTHLY
RADIUS OF OPERATION
NORMAL OPERATING DISTANCE - ONE WAY
*
% OF TOTAL TRIPS
*
MAXIMUM OPERATING DISTANCE - ONE WAY
*
% OF TOTAL TRIPS
*
NO. OF TRIPS PER MONTH BEYOND THE NORMAL DISTANCE FROM PLACE USUALLY KEPT
*
MOST COMMON DESTINATIONS - LIST CITIES AND PROVINCES. USE REMARKS SECTION IF MORE SPACE IS REQUIRED
*
U.S.A. EXPOSURE
ANY U.S.A. EXPOSURE?
Yes
No
MOST COMMON DESTINATIONS - LIST CITIES AND STATES
*
NUMBER OF KILOMETERS FROM THE BORDER
*
NUMBER OF TRIPS PER MONTH
*
NUMBER OF CONSECUTIVE DAYS
*
ANNUAL USE %
*
4. NON-OWNED VEHICLES/TRAILERS
DOES THE APPLICANT NEED 27/27B LIABILITY FOR DAMAGE TO NON-OWNED VEHICLES?
*
Yes
No
HAS LIABILITY BEEN ASSUMED UNDER CONTRACT OR AGREEMENT?
*
Yes
No
NON-OWNED VEHICLES/TRAILERS
*
TYPE OF NON-OWNED VEHICLE / TRAILER
AVERAGE NO. OF VEHICLES/TRAILERS AT ANY ONE TIME
AVERAGE VALUE
MAXIMUM NO. OF VEHICLES/TRAILERS ANNUALLY
VALUE OF THE MOST EXPENSIVE UNIT
ARE ANY OF THE INSURED VEHICLES USED FOR PUBLIC TRANSPORTATION? (DRIVING SCHOOL, PRIVATE OR PUBLIC BUSES, TAXIS, LIMOUSINES, FUNERAL, OR EMERGENCY VEHICLES)
*
Yes
No
IF YOU HAVE PUBLIC VEHICLES, PLEASE COMPLETE THE PUBLIC COMMERCIAL VEHICLE SUPPLEMENT.
5. REMARKS
REMARKS
THIS SUPPLEMENTAL APPLICATION IS INTENDED TO PROVIDE INFORMATION IN ADDITION TO THAT PROVIDED WITHIN THE CORRESPONDING OWNER'S APPLICATION FORM. CONSENT AND DISCLOSURE PROVIDED WITHIN THE CORRESPONDING OWNER'S APPLICATION FORM EXTEND TO THIS SUPPLEMENTAL APPLICATION, AND THE APPLICANT ACKNOWLEDGES THAT THE APPLICATION FOR A CONTRACT OF INSURANCE IS BASED ON THE TRUTH OF THE INFORMATION PROVIDED HEREIN.
Date
*
MM slash DD slash YYYY
CAPTCHA
Page load link
Go to Top