Citadel Program Managers | Peoples Insurance Agency - Instant Quote

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Review Needed

This risk may be eligible for excess coverage, but must be reviewed by an account executive for the following reason(s):
Referral Mode Reasons
For and account review, please continue and upload the requested documents.
Effective Date
Date Format: MM slash DD slash YYYY
Expiration Date
Date Format: MM slash DD slash YYYY
Request Pricing for the Following Excess Limit:
- $1,000,000
- $2,000,000
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Producer:
Producer Contact:
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U.S. DOT#:
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Applicant Information:
Effective Date
Date Format: MM slash DD slash YYYY
Expiration Date
Date Format: MM slash DD slash YYYY
Primary and Intervening Excess Liabilities That Apply:
- Primary AL
- Primary GL
- Primary EL
- Intervening Excess
CGL Class 99793 (Truckers) Only:*
- Yes
- No
Unscheduled Vehicles Operated Under The Applicant's Authority:
- Yes
- No
Any Of The Below Services Provided Or Commodities Hauled:
- Yes
- No
- Passenger Transit
- Water Hauling
- Fracking Related Services or Commodities
- Logging
- Hired & Non-Owned Auto Only
- Freight Forwarding
- Crane Services
- Equipment Rental
- Explosives
- Medical Transport
- Brokerage Authority Only
- Towing
- Coal / Coke
- Drive Away

Primary Automobile Liability

Primary Automobile Liability
Total No of Policies
Occurrence Limit
Premium
# Years Of Loss Runs
(Consecutive years including current. Valued on or after 08/02/2020)
# Of Claims
(Exclude claims closed without loss payment)

Primary General Liability

Primary General Liability
Total No of Policies
Occurrence Limit
Premium
# Years Of Loss Runs
(Consecutive years including current. Valued on or after 08/02/2020)
# Of Claims
(Exclude claims closed without loss payment)

Primary Employer's Liability