Insurance
Free Quotes
Service Center
Calculators
Contact Us

Insurance
Free Quotes
Service Center
Calculators
Contact Us

Great Northern Insurance Agency
Our Dedication Ensures Your Satisfaction

CALL NOW 248-856-9000

Facebook-f Yelp

Insurance
Free Quotes
Service Center
Calculators
Contact Us

Insurance
Free Quotes
Service Center
Calculators
Contact Us

Commercial Auto Quote

Our process is transparent

For Help Call 1-(248)-856-9000

GENERAL INFORMATION

Fields marked (*) are mandatory

NAME INSURED

CORP. NAME (DBA) INSURED

E-MAIL

BUSINESS INFORMATION

MAILING ADDRESS

PRIMARY LOCATION ADDRESS

NATURE OF BUSINESS

YEARS IN BUSINESS

F.E.I.N (OPTIONAL)

CURRENT POLICY INFORMATION

CURRENT CARRIER

CURRENT PREMIUM

CANC/NON-RENEWED/DECL. LAST 3 YEARS

Yes No

IF YES EXPLAIN

LOSSES LAST 3 YEARS

COVERAGES

LIABILITY LIMIT

UM LIMIT

COMP/COLL

Yes No

MEDICAL PAYMENTS

Yes No

PD LIMIT

DRIVERS

Fields marked (*) are mandatory

DRIVER #1 (DRIVER NAME D/L#-STATE YEARS LICENSED IN STATE DOB VIOL/ACCS)

DRIVER #2 (DRIVER NAME D/L#-STATE YEARS LICENSED IN STATE DOB VIOL/ACCS)

DRIVER #3 (DRIVER NAME D/L#-STATE YEARS LICENSED IN STATE DOB VIOL/ACCS)

DRIVER #4 (DRIVER NAME D/L#-STATE YEARS LICENSED IN STATE DOB VIOL/ACCS)

DRIVER #5 (DRIVER NAME D/L#-STATE YEARS LICENSED IN STATE DOB VIOL/ACCS)

VEHICLES

VEHICLE #1 (YEAR MAKE/MODEL TYPE GVW CURRENT VALUE)

VEHICLE #2 (YEAR MAKE/MODEL TYPE GVW CURRENT VALUE)

VEHICLE #3 (YEAR MAKE/MODEL TYPE GVW CURRENT VALUE)

VEHICLE #4 (YEAR MAKE/MODEL TYPE GVW CURRENT VALUE)

VEHICLE #5 (YEAR MAKE/MODEL TYPE GVW CURRENT VALUE)

PHYSICAL DAMAGE

Yes No

SPEC. PERILS DEDUCTIBLE

COLLISION DEDUCTIBLE

RADIUS OF OPERATION(S)

FILINGS NEEDED

Yes No

IF YES EXPLAIN

SR 22 NEEDED (IF YES INELIGIBLE)

Yes No

LIVERY (PUBLIC OF PRIVATE) EXPOSURE (IF YES INELIGIBLE)

Yes No

REMARKS

PHONE NUMBER

Products

Services

Locations

Products

Auto Quote
Homeowners Quote
Condominium insurance
Renters Insurance
Commercial Auto
Business Owners (BOP)
General Liability
Inland Marine
Liquor Liability

Services

Change Address
Add Vehicle
Delete Vehicle
Change Vehicle
Add Driver
Delete Driver
General Auto Request
File Auto Claim
General Home Request
File Property Loss

Locations

Main Office
ISU-Great Northern Insurance Agency 39850 Van Dyke Ave Sterling Heights , MI 48313
Phone:248-856-9000
Fax:248-856-9001
California Office
Kevin Lam 1900 Camden Ave San Jose, CA 95124
Phone:(408) 444-5196
Fax:(877) 275-1639
Ann Arbor Office
Kristine Reed PO Box 3306 Ann Arbor, MI 48106
Phone:(734)945-0027
Phone2:(248)856-9000
Fax:(248)856-9001

Great Northern Insurance Agency Our Dedication Ensures Your Satisfaction

Commercial Auto Quote

Our process is transparent

Products

Services

Locations

Products

Services

Locations

Great Northern Insurance © All Rights Reserved.

Great Northern Insurance Agency
Our Dedication Ensures Your Satisfaction