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Please fill out the following information so we may better assist you with preparing a general form for the quoting process. Filling in all parts of the form is not necessary to receive a quote. Please fill-in as much information and upload as many documents as possible.


Upon receiving the below information, we will have an agent contact you. 

* By hitting ENTER on your keyboard, the quote form will be submitted. The TAB button will take you to the next box to fill-in.




General Liability

Motor Truck Cargo

Primary Liability

Hired Auto Liability




Social Coverages

Cargo Deductions

Reefer Malfunction Deductible

Physical Damage Deductible

Non-Owned Trailer

Med Pay


Radius Traveled

Select all that apply:

Do you act as a freight-broker, freight-forwarder or arrange loads for others?


Please upload as many of the requested documents as possible. The uploaded supported  file(s) requested are to be a maximum of 15MB and in a pdf or doc format.

Driver(s) List

Upload Driver(s) List

Equipment List

Upload Equipment List

Loss Runs

Upload Current Loss Runs

IFTA Report(s) - Last 4 quarter reports

Upload IFTA Report(s)
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7138 N. 110th Ave., Glendale, AZ 85307


© 2019 by GenShield Commercial Insurance Group, LLC