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MEMBER INSURANCE PROGRAM

General Liability & Business Owners Policy (BOP) 
Insurance Quote Request Form          


Please complete and submit the following form to request Coshare member general liability & business owners policy (BOP) insurance quotes.  Once submitted, a member of our Coshare member insurance benefit team will contact you to discuss your specific needs and provide a custom quote.

  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Local (< or = 50 miles)
  • Intermediate (51 - 200 miles)
  • Long Distance (> 200 miles)
  • Time Constraints
  • Routine Errands
  • Student or Youth Transport
  • Outside Sales
  • Other Deliveries
  • Employees carry Personal Auto Liability Coverage of $100k/$300k/$50k split or $300k single limit
  • Drivers MVRs are on file and checked annually by insured
  • Age and driving experience considered in allowing use of personal vehicles
  • Yes
  • No
  • Property in-transit
  • Employment Practices Liability Insurance (EPLI) - insurance against lawsuits arising from: wrongful termination, sexual harassment, gender discrimination, sexual discrimination, etc...
  • Data Breach - sensitive data loss
  • Commercial Auto Liability
  • Preservation of Property
  • Increased Cost of Construction
  • Pollutant Clean-up
  • Electronic Data
  • Newly Acquired Property
  • Valuable Papers
  • Outdoor Property/Signs
  • Non-Owner Detached Trailers
  • No Additional Coverage is Needed
  • Event Cancellation
  • Special Event Liability
  • Liquor Liability

Type the words you see above separated by a space.
Letters ARE case-sensitive.

Quotes are provided by licensed agents with the Nicholas Hill Group, Inc.  Quotes are subject to full underwriting and include certain exclusions and limitations.  Not all products are available in all states.  Please contact the Nicholas Hill Group, Inc. with any coverage questions or concerns by calling 1-877-303-2050 or emailing info@nicholashillgroup.com.