| | ************************************************************ MostChoice.com Quote Request ************************************************************ Quote Request Number: 19611 Quote Request Type: CAuto Date Recevied: 09/19/2002 Contact Information: Name of Business: HARTMAN EXPRESS DELIVERY SERVICES Contact First Name: HARTMAN Contact Last Name: LEONARD Address: 5517 W BLACKBIRD LN DALLAS, TX 75232 Phone Number: 469-576-6003 Fax: 469-576-6004 Email: PEKANSU@EARTHLINK.NET Business Information: Legal Entity: Sole Proprietorship Industry: - Other Service-based Industry Nature of business: DELIVERY OF PAPER GOODS & DRY PRODUCT. Number of employees: 3 Year started: 1994 Number of vehicles: 2 Profit or non-profit: profit Years of Experience of Owner: 20 Insurance and Underwriting Information: Currently insured for Commercial Auto?: no If yes, Carrier: Expiration date: n/a Current Premium: Claims in the last 3 years: Vehicle & Driver Information: Driver(s) Info: VERNELL HARPER, 051240,12141562,TX DARRIN COLEMAN,061160,00120044,TX Vehicle(s) Info: 1993 INTL BOBTAIL COLEMAN EXPRESS 1993 GMC BOBTAIL COLEMAN EXPRESS Vehicle(s) Use: FREIGHT DELIVERY Zip Code where vehicle parked: 76104 Average Miles driven regularly: 15 New Commercial Auto Features: Date to go in Effect: Comprehensive Deductible: Not Sure Collision Deductible: Not Sure Liability Coverage: Other Coverages desired: General Liability Other info your Agent needs to know: |