FREIGHT BROKER GENERAL LIABILITY
To Get Started,   We need to get a little information about your company.
   
Your Name:   LEGAL NAME
Your Company Name: DBA NAME
Your email address:
Physical Address:
City:
State:
Zip:
   
Mailing Address (if different):
City:
State:
Zip:
   
Telephone Number:
Mobile :
FAX Number:
Number of Locations:
Number of Employees::
Number of Additional Insureds:
MC or FF Number:
 The premium for a one(1) location brokerage with gross revenues <2,000,000 is approximately $1200/yr plus $100 per additional insured (if required). This is only an indication and subject to final company underwriting approval.

Important Note: Once you submit your information, you will be directed to a
confirmation page showing that it has been sent. CLICK on "RETURN TO FORM"
to be directed to the payment section of the process.

                                                            

Contact Information

IF YOU HAVE ANY QUESTIONS, OR WOULD LIKE TO DISCUSS BECOMING A FREIGHT  BROKER, FEEL FREE TO CALL US AT:

Telephone
800-977-9884
FAX
800-686-2170
Postal address
8200 KINGSTON PIKE STE 10
           KNOXVILLE, TN  37919
Electronic mail
Customer Support: info@contingentcargo.com