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					AIG The Truck Insurance Group
Small Fleet
Best Risk Profile

•   Annual mileage per tractor between 50,000 and 100,000

•   General commodities hauled in van type trailer

•   Age of power units – 3 years old or newer

•   Age of drivers between 25-65 years old with not more than 1 MVR point

•   Must have Commercial driver experience – 2+ years

•   Account written with both liability and physical damage

•   4 years of loss history with a loss ratio under 30% with acceptable loss frequency

•   Current financial statements available, including balance sheet and income statement
    showing acceptable current ratio and positive net worth and net income.
                                                AIG The Truck Insurance Group
                          The Small Fleet Transportation Specialists
                                Insurance Provided by Member Companies of American International Group, Inc.

Overview                                                                                  Key Underwriting Information for
AIG The Truck Insurance Group is exclusively                                              1-9 Power Unit Risks
committed to the transportation industry. We specialize                                   •  Minimum of 2 years in business
in insuring for-hire transportation risks, fleet and non-                                 •  Completed Application
fleet truck operations. AIG provides complete insurance                                   •  Drivers List and MVR's
programs for the trucking market. Three areas of focus:                                   •  Loss History: 2-4 years
Small Fleet (1 to 9 power units) and Mid Fleet (10 to                                     •  Commodities hauled
50 power units) and Large Fleet (50 or more power
                                                                                          •  Complete description of operations
units) trucking operations; intermediate to long-haul.
                                                                                          •  Verifiable Exposures for risks with 5 or more units
Our distribution system is the AIG approved retail
                                                                                             required 4 years Historical Data:
broker network throughout the United States.
                                                                                          1. Annual Revenue
                                                                                          2. Annual Mileage Summary (IFTA’s or Schedule B)
Customer Profile for Small Fleet
                                                                                          3. Total number of Power Units
Acceptable types of truck operations:
• Truckload
                                                                                          1-9 Power Unit Potential Unacceptable
• Less-than-Truckload (LTL)
                                                                                          Commodities or Risk Types:
• Long Haul to Intermediate Operations
                                                                                          •    Hazardous Materials(any product requiring placard)
• Owner/Operators
                                                                                          •    Radioactive Materials
• Dry Van
                                                                                          •    Fuel Products: Gasoline, Diesel, LPG, Butane, etc..
• Flatbed
                                                                                          •    Catering trucks
• Refrigerated
                                                                                          •    Logging or pulpwood operations
Coverages                                                                                 •    Livery / Livestock haulers
                                                                                          •    House movers/mobile home movers
•   Auto Liability - Primary
                      Excess/Umbrella                                                     •    Emergency vehicles
                      Non-Trucking Use (Bob-Tail)                                         •    Carnival or circus operations
•   Physical Damage                                                                       •    Star route mail carriers
•   General Liability                                                                     •    Time sensitive local delivery business
                                                                                          •    Armored trucks
Claims Handling Services                                                                  •    Residential or commercial waste/trash/garbage
•   24 hour service (1-800-426-3268)                                                      •    Aggregate Haulers (Sand, Gravel, Dirt, etc..)
•   Claimant and client contact within 24 hours                                           •    Haulers of swinging or hanging meat
•   Catastrophic response team                                                            •    Rigging Operations
•   Adjusters are transportation specialists                                              •    Concrete / Ready-Mix
•   Nationwide network of experts                                                         •    Unacceptable financial condition:
•   Litigation management - with client participation                                              Negative net worth or operating ratios over 100
•   Consistent reserving                                                                           Pattern of net loss over a period of time
•   Aggressive cost containment




These descriptions do not include all terms, exclusions and conditions of the policies and are not intended to be relied upon by potential insureds. Anyone interested in
   these products should request a copy of the policies for a complete description of the scope and limitations of these coverages. Policy terms may vary based on
                                                   individual state requirements and may not be available in all states.
                                 AI Transport
                         Underwriting Information Required
                       Small Fleet Accounts 1 to 9 Power Units
Completion of AI Transport Small Fleet Application, or equivalent application for all lines of
coverage to be considered. The application must be signed and dated by insured and broker upon
binding of the account. All sections need to be thoroughly completed for each of the requested
coverage sections. Please be sure to provide explanation of any changes in the operations from one
year to the next, the more specific the better.

IFTA’s or Schedule Bs (mileage by state) for the last annual year. Please provide projected annual
mileage for the upcoming policy year as well.

Loss Data: Fours years currently valued (within the last 90 days) insurance carrier loss reports
covering all coverages requested. Must include each of the three prior years and current policy
period. Also, please provide explanations for all losses over $10,000.

Equipment : Please provide a schedule of current equipment. The schedule must include year,
make, model, Vin #'s and actual cash value for each scheduled piece of equipment. All tractors
over 10 years old must have a mechanical inspection from an independent certified garage within
30 days of binding coverage.

Drivers : Please provide a schedule of current drivers, including all company and owner operators.
The list must include: Driver's Name, Date of Birth, Date of Hire, and number of Years of
Commercial Driving experience. Note: All submissions must include MVR's for each driver valued
within the past 30 days.

Thorough description of all operations including major customers, commodities hauled, routes
traveled, special contracts, sub-haul revenue, brokerage revenue and all other sources of revenue.

Please provide operating authorities. - FHWA Motor Carrier Numbers, CA Numbers and any
other state filings applicable. Please provide Brokerage Authority Number and percentage of total
revenue from operations.




                      1200 Abernathy Road   Bldg. 600   Atlanta, GA 30328
DESIRED POLICY EFFECTIVE                   TIME:               am                   AIG The Truck Insurance Group
DATE :
                                                                                    Phone (678)320-1100    FAX (678)320-1298
                                                               pm                   1200 Abernathy Rd., Suite 600;
   ________/________/_______               ______:______                            PO Box 720594; Atlanta, GA 30358




                                                          AIG         The Truck Insurance Group
                                      SMALL FLEET INSURANCE APPLICATION
GENERAL INFORMATION
Applicant Name:
                                                                                                             City          State        County         Zip
Applicant Address

                                                                                                             City           State       County         Zip
Principal Garaging Address(If Different)

Type Of Entity:                            Applicant Phone                            (    )    -
  Proprietorship, Partnership,             M.C. Number
  Corporation, Individual, Other           Social Security Or Tax I.D. Number:
Name of Person to Contact:                                                         Number Of Years In Business?:_____
COVERAGE DESIRED
Coverage                  Limit                                   Deductible                       Symbol
Primary Liability                300 500 750 1000                         None 1000 2500
Non Trucking Use                 300 500 750 1000                               N/A
Personal Injury                 Reject       ____________                       N/A
Uninsured Motorists             Reject       ____________                       N/A
Physical Damage                      Stated Amount                         $1000     $2500
MILEAGE BY STATE (Or Attach Copy of Schedule B -- Fuel Tax Summary)
State               Annual Mileage        State                Annual Mileage       State              Annual Mileage


DRIVER INFORMATION
Driver Name            Date Of Birth                            License # and (State)               Date Employed           Commercial Experience
1.                          /      /                                              (           )          /    /
2.                          /      /                                              (           )          /    /
3.                          /      /                                              (           )          /    /
4.                          /      /                                              (           )          /    /
5.                          /      /                                              (           )          /    /
6.                          /      /                                              (           )          /    /
VIOLATIONS and ACCIDENTS
Driver Name                             Date Of Violation      Details Of All Violations Or Accidents                                   Place
                                                               In The Last 36 Months
                                               /      /
                                               /      /
                                               /      /
                                               /      /
                                               /      /
                                               /      /
FINANCIAL INFORMATION
Attach a copy of the insured's most recent year end profit and loss sheet, tax statement or other financial information and any
necessary explanation.
FILINGS
Does the applicant require:    ICC Filing (provide docket #MC)        PUC Filing     Other state filings (Specify state)_____
Note: 1. We must insure all vehicles owned or operated by the insured to make an ICC or PUC filing. 2.: No filings will be make until downpayment is
received and the risk is acceptad. 3. There is a fully earned filing fee of $10.00 for filings made as a result of reinstatement.
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EQUIPMENT INFORMATION
Unit   Owned?     P=         Model   Make      Model    Type *    Serial Number                                         Physical   Stated
       Leased?    Power      Year                                                                                       Damage     Amount
       Owner/        Unit                                                                                               Deduc-
       Oper.      T=                                                                                                    tible**
                  Trailer
1                                                              / / / / / / / / / / /           /   /   /   /   /
2                                                              / / / / / / / / / / /           /   /   /   /   /
3                                                              / / / / / / / / / / /           /   /   /   /   /
4                                                              / / / / / / / / / / /           /   /   /   /   /
5                                                              / / / / / / / / / / /           /   /   /   /   /
6                                                              / / / / / / / / / / /           /   /   /   /   /
*- Tractor Type = Cabover, Conventional, Straight Truck, Service, Other (Describe)
    Trailer Type = Van, Van Refrig., Tank - Liquid, Dry Bulk, Gas Bulk, Flatbed, Lowboy
**Enter N/A if no physical damage requested.
LIST OF COMMODITIES HAULED (INCLUDING BACKHAULED COMMODITIES)
 Type                            Revenue %                         Type                                            Revenue %


LOSS HISTORY
Prior Carrier               Period                  Losses (attach separate sheet if necessary)




MISCELLANEOUS QUESTIONS
Does applicant haul double trailers and/or triple trailers?          _______Yes           ______No
For NTU coverage, is the truck under permanent lease?                _______Yes           ______No
        (Attach copy of lease if so)
Does the applicant act as a truck broker?                    _______Yes            ______No
Does the named applicant operate any other vehicles not listed?      _______Yes           ______No
Are placards ever required for any vehicle?                          _______Yes           ______No
COMMENTS
Explain any yes answers or give details on losses in space following?___________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
_________________________________________________________________________________________________________
BROKER INFORMATION
Broker Name and Address:___________________________________________ Phone #:______________________
__________________________________________________________________ Fax #: ______________________
__________________________________________________________________
__________________________________________________________________
Broker Signature____________________________________________________
APPLICANT'S STATEMENT
I hereby apply to AIG The Truck Insurance Group for a policy of insurance as set forth in this application on the basis of
statements contained herein.
Signature of Applicant ______________________________________________ Date _____/_____/_____



                            Insurance provided by Member Companies of American International Group, Inc.




62695(5/95)

				
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