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satisfied florida home insurance customer testimonial from Ranch Ins.com
$250,000 Home Coverage,
ONLY $655.00 PER YEAR!
$250,000 homeowners coverage on
Bradenton, FL Home, Built in 2015,
$1000 policy deductible.
2% Hurricane Deductible.



satisfied florida home insurance customer testimonial from Ranch Ins.com
$250,000 Home Coverage,
ONLY $762.00 PER YEAR!
$250,000 homeowners coverage on
Sarasota, FL Home, Built in 2015,
$1000 policy deductible.
2% Hurricane Deductible.



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On-Line Commercial
Vehicle Quote Form
One Simple Form - takes only 2-3 Minutes!


YOUR PERSONAL DATA:

Your Name:
Business Name:
Street Address:
City:
State: (Must be Florida)
Zip/Postal:
E-Mail (REQUIRED):
E-Mail (Again, for Accuracy):
Phone:
Fax (optional):
 
Currently Insured?
(If yes, list carrier, and # of years
continuous. If no, type NONE)
 
Type of Business:
(Please be specific, and
tell how vehicles are used.)


 
DRIVER INFORMATION #1
(if more than two drivers,
list in remarks)
Name: Birthdate:
Sex: # Years U.S.
 Auto License:
Number & Type of
Accidents within
last 3 years:
Number & Type of
MINOR violations within
last 3 years:
Number & Type of
MAJOR violations within
last 3 years:
Daily commute
in ONE WAY miles:
Does Driver need
an SR22 FILING?
Yes No Comments or
Remarks?
 
DRIVER INFORMATION #2 (if none, leave blank)
Name: Birthdate:
Sex: # Years U.S.
 Auto License:
Number & Type of
Accidents within
last 3 years:
Number & Type of
MINOR violations within
last 3 years:
Number & Type of
MAJOR violations within
last 3 years:
Daily commute
in ONE WAY miles:
Does Driver need
an SR22 FILING?
Yes No Comments or
Remarks?


COMMERCIAL VEHICLE #1:
If more than 2 vehicles, list in remarks
or call us at: 844-557-1632
Year of vehicle: Make & Model:
Type (truck, tow-truck, bobtail, etc.): Length in Feet:
Gross Vehicle Weight: Cost
New: $
Radius of operation: Value $:
List Special Equipment & Values
(i.e., rack, tool box, etc.)

VEHICLE ID#
(highly suggested for accurate rating)

VEHICLE #1 COVERAGES:
Select Liability Limits
 
Comprehensive
& Collision:
NO Coverage $250 Deductible
$500 Deductible $1000 Deductible
 
Do you want
Medical Coverage?
Yes No   Uninsured
  Motorists?
Yes No
 
COMMERCIAL VEHICLE #2:
Year of vehicle: Make & Model:
Type (truck, tow-truck, bobtail, etc.): Length in Feet:
Gross Vehicle Weight: Cost
New: $
Radius of operation: Value $:
List Special Equipment & Values
(i.e., rack, tool box, etc.)

VEHICLE ID#
(highly suggested for accurate rating)



VEHICLE INFORMATION FOR UNITS #3-5:
(If none, Leave Blank)
VEHICLE #3
(List Year, Make, Model & Value)
VEHICLE #4
(List Year, Make, Model & Value)
VEHICLE #5
(List Year, Make, Model & Value)


VEHICLE #2 - #5 COVERAGES:
Limits of
Liability:
$500,000 CSL
$750,000 CSL
$1 Million CSL
 
Comprehensive
& Collision:
NO Coverage $250 Deductible
$500 Deductible $1000 Deductible
 
Do you want
Medical Coverage?
Yes No   Uninsured
  Motorists?
Yes No
 
Send my quotation via: E-Mail Fax
Regular Mail
Call Me by Phone

 
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Ranch Insurance Services | 5820 Ranch Lake Blvd., Unit 108 (Walmart Plaza) | Bradenton, FL 34202 | Toll Free: 844-557-1632
Map/Driving Directions | Local Phone: 941-216-4393 | Fax: 941-216-4399 | Email Us at: contact@ranchins.com

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