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Marianne Cipollone, Insurance Broker
Cell:
(416)-994-0892
Office:
(905)-660-8278
Email:
marianne@oraclerms.com
Trucking Insurance
Company Information
Company Name:
*
Address:
*
City:
*
Province:
*
Postal Code:
*
Contact Person:
*
Email Address:
*
Phone Number:
Type of risk:
Log Hauling
Wood Chip Hauling
Finished Lumber
Sand and Gravel
Other
Years of experience:
Present Insurer:
Expiry Date:
Date and time
Claims History last 5 years:
Conviction History last 5 years:
Radius of operation:
Province & average Distance Travelled:
If any U.S. operations, please advise:
Driver Information
Name:
Age:
Experience:
Vehicle Schedule
Year:
Make:
Model:
Limit price:
List Price New/Actual Value:
Coverages
Liability Limit:
$1,000,000
$2,000,000
All Perils Deductible:
Security Code:
Enter security code:
Overview
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Combined Home and Auto
Business Insurance
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Travel Trailer Insurance
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