Business Name:    
Premises Address:
City:
Florida
Zip Code:
Contact Name:
Phone #:    Ext #:
Fax:    Years in Business:
Email Address: (Required) 
Federal Employer's ID #:
Description of Operations or SIC code:


Florida Vehicle Information:
(if more than 3 commercial vehicles please provide best time to contact)

Vehicle     Year              Make              Model             Body Type
     1        
     2        
     3        

Additional Vehicle Information:

                Miles          Cost                                     Where              Lienholder      Lienholder
Vehicle   Driven         New            VIN#               Garaged              Yes/No             Name
     1              
     2              
     3              

Florida Commercial Auto Insurance Coverage Information:

                      Liability                 Property                   Uninsured
Vehicle  Combined Limits          Damage               Combined Limits         Medical
     1                                        
     2             SAME                       SAME                       SAME                   SAME
     3             SAME                       SAME                       SAME                   SAME


                   Collision         Comprehensive
Vehicle    Deductible           Deductible
     1             
     2             
     3             

Florida Driver Information:

                                  Drivers                          Date of                                              Drivers
Driver                       Name                               Birth                  Gender                 License #
     1                         
     2                         
     3                         

Is each employee's driving record accident & violation free during the past 5 years?
Driver
     1         If No, how many accidents?    How many violations? 
     2         If No, how many accidents?    How many violations? 
     3         If No, how many accidents?    How many violations? 

Was any employee's driver's license suspended during the past 5 years?
Driver
     1      
     2      
     3      

Recent Insurance Information:

Current Insurance Company: 
Expiration Date: (mm/dd/yyyy)
Any losses past 3 years:
Description of losses, including amount paid on each accident:


Additional Information or Comments



Click on the "Submit Quote Request" button below to send your
Florida Commercial Auto Insurance quote request.**


**Information received from this Florida Commercial Auto Insurance quote request
form sent to Bauknight Insurance will be for our use only and will not be sold, given to,
or distributed to any other parties. A quote will be based on the commercial auto
insurance information provided and does not guarantee acceptance of the risk by us.
The precise coverage afforded is subject to meeting underwriting guidelines, and the terms,
conditions and exclusions of the policy as issued. By submitting this request you
acknowledge that this is neither an offer to insure nor a guarantee of insurance.
Completion of this form does not entitle your business to a Florida Commercial Auto
Insurance policy. We are licensed in Florida and will not provide commercial auto
insurance quotes for other states.


Florida Commercial
Auto Insurance Quote
Contact us about Florida
Commercial Auto, Business
Property, Apartment Building,
and Condo Association
Insurance at either (352) 686-
0612 or (727) 863-5641
.

In addition to a Florida
Commercial Auto Insurance
quote, we also offer
affordable Commercial
Property Insurance plan
quotes.
We are a Florida based two location insurance agency offering
comprehensive Florida commercial auto insurance plan quotes to
small, mid-sized and large businesses located in the following
cities and counties: Spring Hill, Hudson, New Port Richey, Holiday,
Brooksville, Aripeka, Bayonet Point, Port Richey, Gulf Harbors,
Elfers, Anclote, Tarpon Springs, Palm Harbor, Land O' Lakes,
Masaryktown, Garden Grove Esates, Spring Lake, Weeki Wachee,
Bayport, Brooksville, Istachatta, Pineola, Nobleton, Bushnell,
Sumterville, Center Hill, Webster, Linden, Mascotte, Tarrytown,
Ridge Manor, Catherine, Trilby, Lacoochee, Dade City, Blanton,
San Antonio, St. Leo, Zephyrhills, Crystal Springs, Wesley Chapel,
Pasco, Darby, Odessa, Richland, Lumberton, Homosassa
Springs, Hernando County, Pinellas County, Citrus County,
Hillsborough County, and Pasco County, FL. We can also offer our
Florida commercial auto insurance coverage quotes to businesses
throughout the sunshine state, including in Winter Haven, Lakeland,
Miami, Orlando, Tampa, St. Petersburg, Tallahassee, Ft.
Lauderdale, and Jacksonville, FL.
We provide
comprehensive Florida
Commercial Auto
Insurance coverage
services in west Florida
and throughout the
Sunshine State!
Florida Business Information:
Bauknight Insurance of
Spring Hill, FL and Hudson,
FL offers comprehensive
commercial insurance
coverage options and
experienced business
insurance services throughout
Florida.
Bauknight Insurance
10488 Spring Hill Drive
Spring Hill, Florida 34608
Hernando County FL
(352) 686-0612
Brooksville (352) 796-0007
Fax: (352) 686-2699

Bauknight Insurance
13041 U.S. Hwy 19
Hudson, Florida 34667
Pasco County FL
(727) 863-5641
New Port Richey (727) 862-3287
Holiday (727) 863-5642
Fax: (727) 863-0637

Your Florida Commercial
Auto Insurance Source
Request Florida Commercial Auto Insurance Quote
Serving Florida's Pasco and
Hernando Counties Since 1975!
Florida Commercial Auto Insurance Quote
BAUKNIGHT
INSURANCE
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