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Dec Page View - E & B Bulk Transport Inc.
E & B Bulk Transport Inc.
Basic Policy Information
Policy #: WPP400075100
Term: 08/20/2009
Tran Date: 11/20/2009
Tran Type: Policy
Tran Description:
Policy Type: Truckers
Business Unit:
Division:
Department: Hanford
Primary Service Group:
Account Executive: Daniel Todd CPCU, CIC, [email protected]
Account Representative: Amanda Bennett CISR, [email protected]
Parent Company: AMCOM
Writing Company:
Bill Method/Pay Plan: Agency
Current Policy Premium:
Full Term Premium:
First Named Insured
Name:
Firm Name:
DBA:
Dec Name:
Address:
Business: (559)582-9135
Residence:
Cell:
Fax:
Email:
Supplemental Names
Name
Bus Phone
Alt Phone
Cell Phone
Additional Interests
Name
Phone Fax Email Interest In
Payor Loan/Ref #
Description
950 W Elm Ave, P O Box 113, Coalinga, CA, 93210 Remarks
a set of trailers is attached to each power unit & the remaining trailers are covered as unidentified
Lines of Business
Truckers, Auto
Total Premium:
Truckers Covered Auto Symbols
Liability:
Uninsured Motorist:
(45) Owned Autos Subject to A Compulsory Uninsured Motorist Law (48) Trailers in Your Possession under A Trailer Interchange Agreement (49) Your Trailers in The Possession of Another Trucker under A Trailer Interchange Motor Carrier Covered Auto Symbols
(66) Owned Autos Subject to A Compulsory Uninsured Motorist Law (69) Trailers in Your Possession under A Trailer Interchange Agreement (70) Your Trailers in The Possession of Another Trucker under A Trailer Interchange Coverages
Coverage
Ded Type/Amt
Miscellaneous Information
Additional Coverages
Hired/Borrowed
State
Cost of Hire
If Any Basis
Primary/Secondary
Non-Owned
State
Number Of
Group Type
Equipment
Long Term
Vehicle Type
Non Owned
Trip Lease
Intermediate
Long Distance
Terr/Zone
Semi-TrailersFull TrailersTrucksOtherTractorsPrivate Passenger AutosRefrigerated TrailersService TrucksTank Semi-TrailersTank Trailers Vehicle Schedule
Customer
Year Make
Body Type
Garage City Garage State Liab PIP MedPay UM/UIM Comp Coll Spec Peril
http://ams360.jgparker.com/vMain/customer/Policy_Dec_View_Printer.aspx?CustId=7fc.
Dec Page View - E & B Bulk Transport Inc.
http://ams360.jgparker.com/vMain/customer/Policy_Dec_View_Printer.aspx?CustId=7fc.
Dec Page View - E & B Bulk Transport Inc.
http://ams360.jgparker.com/vMain/customer/Policy_Dec_View_Printer.aspx?CustId=7fc.
Dec Page View - E & B Bulk Transport Inc.
http://ams360.jgparker.com/vMain/customer/Policy_Dec_View_Printer.aspx?CustId=7fc.
Dec Page View - E & B Bulk Transport Inc.
Licence #
Lic State
Commercial Driver Since
Anthony Paul Edwards (Driver Being Montiored Quarterly) 05/03/1964 Robert Greene (Driver Being Montiored Quarterly) Remarks
Cost of Hire $2M
http://ams360.jgparker.com/vMain/customer/Policy_Dec_View_Printer.aspx?CustId=7fc.

Source: http://rfpmedia.tideinteractive.com/uploads/request_documents/e_b_policy_dec_view_list.pdf