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16704 PETRUS LN FONTANA, CA, 92336
contact@aoneinsure.com
(909) 916-0701
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      BASIC INFO

    • 2

      COVERAGE

    • 3

      EQUIPMENT

    1/3

    BASIC INFO

    COMPANY INFORMATION

    TARGET EFFECTIVE DATE*

    PHYSICAL ADDRESS

    CONTACT INFORMATION

    0%

    COVERAGE INFORMATION

    COVERAGE
    INSURANCE LIMIT
    DEDUCTIBLE

    OPERATION RADIUS

    [text* 0-50-MILES placeholder "0-50 MILES"]
    [text* 51-200-MILES placeholder "51-200 MILES"]

    UPCOMING PROJECTIONS

    COMMODITIES HAULED

    COMMODITY
    HAULED
    AVE LOAD VALUE
    MAX LOAD VALUE
    SHIPPER

    50%

    DRIVERS

    DRIVER Full NAME
    LICENSE NUMBER
    STATE
    DATE OF BIRTH (MM/DD/YY)
    YEARS OF EXPERIENCE

    TRACTORS

    EQUIPMENT
    YEAR
    MAKE
    VIN
    VALUE
    LIENHOLDER

    TRAILERS

    EQUIPMENT
    YEAR
    MAKE
    VIN
    VALUE
    LIENHOLDER

    INTERNATIONAL FUEL TAX AGREEMENTS

    A Reliance Partner representative will be in contact with you to gather IFTA documents.

    LOSS RUNS

    A Reliance Partner representative will be in contact with you to gather Loss Run documents.

    100%

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