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By use of this quoting system, I agree that as a result of a quote provided by Valet Insurance Professionals LLC, should I choose coverage through that insurance carrier, I will purchase the coverage through Valet Insurance Professionals LLC.
I agree
(Name)
Valet Insurance Professionals Request for Quote
Applicant Information
Requested Effective Date
Applicant Name and Address:
Contact Person and Telephone Number:
E-Mail Address:
Type of Entity:
Individual
Corporation
Partnership
Other
Years in Business:
Years Valet Experience:
Description of Operations
Location
Description
Name and Address of Location
No. of Valet Spaces
No. of self parking
spaces
No. of assisted parking spaces
Hours of Operation
Days of Operation
Lot Description Onsite/
Offsite Open/Enclosed
01
02
03
04
05
*For more than 5 locations, please include a spreadsheet containing the requested information
Description of Parking Procedures
Where are customer keys kept?
Is the area where customer's keys kept manned and locked at all times?
Yes
No
Yes
No
Are any vehicles kept parked in a parking garage, underground storage facility or any other covered parking structure?
Yes
No
Are any autos parked on the street?
If any parking is done off-site please include a diagram showing traffic patterns traveled.
What type of parking ticket is used?
Describe your lot protection.
Yes
No
Are vehicles parked within sight of an attendant?
Yes
No
Do you provide parking for special events?
What is your procedure if a customer does not pick up their car by closing time?
Yes
No
Do you refuse to give an obviously intoxicated customer his/her car keys?
Yes
No
If "Yes", do you suggest or provide alternative transportation?
How are Valet sections separated from self parking? (i.e. cones, ropes)
Employee Section
Name
License Number and State
Date of Birth
Hours Worked
Violations in Accidents in Prior Three Years
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
*For more than 15 Employees, please include a spreadsheet containing the requested information
Does the applicant require MVRs on all prospective drivers prior to hire?
Yes
No
How often are MVRs updated?
What is applicant's standard for an acceptable MVR?
Besides acceptable MVRs, does the applicant have established criteria to determine
the acceptability of a driver (i.e. drug testing, background checks, age parameters, references, etc,)?
How are drivers recruited, screened and trained?
What is the actual cost of labor (hourly, contract and tips)?
Does the applicant have an Employee Manual?
Yes
No
Does the applicant have a Safety Manual?
Yes
No
Coverage
Prior Carrier and Loss History for Three Years
No Known Losses
See Loss Runs
Current Carrier
Policy Period
Premium
Prior Carrier
Policy Period
Premium
Prior Carrier
Policy Period
Premium
Date of Loss
Amount of Loss
Description of Loss
Requested Coverage
Garage Liability Limit
$
Each Accident
$
Aggregate
Add Broadened Coverage
Yes
No
Garagekeepers limit
$
Per Location
Basis Legal Liability?
Primary?
Limit per Any One Vehicle
$
SCL or Comprehensive
$
Deductible
Collision $
Deductible
Comments