Commercial Aircraft & Airport Insurance Quote

Commercial Aircraft & Airport Insurance Quote

This form is used to quote Multiple Commercial Aircraft and Airport General Liability Coverages (Such as Premises Liability, Products & Completed Operations and Hangarkeepers Liability). This includes Fixed Base Operations such as Flight Schools, Charter Operators, Aircraft Sales Operations, Maintenance & Avionics Shops, and Aircraft Detail operators. Customers looking for just Airport coverages would skip filling in the "Aircraft Fleet Information" part of the form. For description of coverages see our Commercial Aircraft Coverage Information or Airport Coverages Information page.

Contact Information

Last Name
First Name
Company
Occupation
Street
City
State
Zip Code
Day Phone
Home Phone
Fax
Email
Airport
Years in Business
Present Insurance Company
Expires

Aircraft Fleet Information

Liability and Medical Coverages
Liability Limits:
$500,000 Combined Single Limit with $100,000 per passenger $1,000,000 Combined Single Limit with $100,000 per passenger $1,000,000 Combined with no per passenger limitation Over One Million Combined Single Limit with no passenger limitation
Over Million Combined Single Limit with no passenger limitation

Medical Coverage Each Passenger:
$1,000 $3,000 $5,000

Additional Coverage:
Student Renter Pilot Liability
Non Owner Liability
Non Owner Hull
Non-Owned Hull Coverage $ each aircraft

Aircraft Schedule

Aircraft #1

FAA Number
Make Model & Year
Value
Uses(select all that apply)
Rental
Charter
Other
Enter other use(s)
Add Second Aircraft
No
Yes

Aircraft #2

FAA Number
Make Model & Year
Value
Uses(select all that apply)
Rental
Charter
Other
Enter other use(s)
Add Third Aircraft
No
Yes

Aircraft #3

FAA Number
Make Model & Year
Value
Uses(select all that apply)
Rental
Charter
Other
Enter other use(s)
Add Fourth Aircraft
No
Yes

Aircraft #4

FAA Number
Make Model & Year
Value
Uses(select all that apply)
Rental
Charter
Other
Enter other use(s)
Add Fifth Aircraft
No
Yes

Aircraft #5

FAA Number
Make Model & Year
Value
Uses(select all that apply)
Rental
Charter
Other
Enter other use(s)
Add Sixth Aircraft
No
Yes

Aircraft #6

FAA Number
Make Model & Year
Value
Uses(select all that apply)
Rental
Charter
Other
Enter other use(s)
Add Seventh Aircraft
No
Yes

Aircraft #7

FAA Number
Make Model & Year
Value
Uses(select all that apply)
Rental
Charter
Other
Enter other use(s)
Add Eight Aircraft
No
Yes

Aircraft #8

FAA Number
Make Model & Year
Value
Uses(select all that apply)
Rental
Charter
Other
Enter other use(s)
Add Ninth Aircraft
No
Yes

Aircraft #9

FAA Number
Make Model & Year
Value
Uses(select all that apply)
Rental
Charter
Other
Enter other use(s)
Add Ninth Aircraft
No
Yes

Aircraft #10

FAA Number
Make Model & Year
Value
Uses(select all that apply)
Rental
Charter
Other
Enter other use(s)

Pilot Warranty

Your current pilot warranty or what you would like to request
Fixed Tricycle Gear <201 HP
Fixed Tricycle Gear >200 HP
Tailwheel Gear <201 HP
Tailwheel Gear >200 HP
Retractable Gear <201 HP
Retractable Gear >200 HP
Multi-Engine <501 Total HP
Multi-Engine >500 Total HP
Rotor Wing
Gliders
Aircraft Losses Past 5 Years

Airport Insurance Coverage's

Airport General Liability Limits (Premises Liability)
$500,000 Combined Single Limit $1,000,000 Combined Single Limit Over $1,000,000 Combined Single Limit
Enter Amount

Products & Completed Operations Liability Limits
$500,000 Combined Single Limit $1,000,000 Combined Single Limit Over $1,000,000 Combined Single Limit
Enter Amount

Hangarkeepers Liability Limits
$50,000 Each Aircraft, $100,000 Each Occurrence $100,000 Each Aircraft, $300,000 Each Occurrence $250,000 Each Aircraft, $500,000 Each Occurrence Over One Million
Enter Amount for Each Aircraft
Enter Amount for Each Occurrence

Premises Medical Coverage
$1,000 per person $3,000 per person $5,000 per person

Fixed Base Operations

General Information

Size of office occupied by Applicant (in square feet)
Area Applicant occupies Hangar #1 (in square feet)
Area Applicant occupies Hangar #2 (in square feet)
Total number of tie-downs on your premises
Average Value of Aircraft tied out
Number of aircraft hangared
Average Value of Aircraft Hangared $
Any other locations at other airports occupied by applicant
Is the Applicant the Airport Manager?
Yes No
Are Ultralight, Parachuting or Agriculture operations conducted on the premises?
Yes
No
Number of vehicles owned/used by applicant:
Fuel Trucks
Tugs
Has applicant had any airport related losses/claims during last 5 years?
No Yes
Explain Losses
Has any insurer canceled, declined or refused to renew any aviation insurance?
No Yes
Explain Decline

Operations Information

Types of services provided by applicant and gross receipts for each operation (Select all that apply)
Fueling
Fueling Gross $
Maintenance
Maintenance Gross $
Parts Sales
Parts Sales Gross $
Avionics
Avionics Gross $
Aircraft Sales
Aircraft Sales Gross $
Other
Other
Other Sales Gross $

Fueling

Type and volume of Fuel Sold
Gallons of Jet Fuel
Gallons of Avgas
Gallons of Auto Fuel
Type of Fuel Storage
Underground
Above Ground
Fuel Truck
Fuel is Dispensed from
Truck
Fuel Island
Self Service

Maintenance

Type of Aircraft Maintained
Single Engine
Multi-Engine
Rotorcraft
Turbine
Which of the below do you overhaul or manufacture?
Engines
Propellers
Kit Planes
Accessories

Comments or Questions

Other Comments or Questions