Flight Schools

Corporate Fleets

Helicopter Fleets

Charter Fleets

Sales Fleets

Sightseeing Fleets



Commercial Aircraft Fleet Quote Request

This form is used to quote an aircraft fleet.  This includes operations such as Flight Schools, Part 135 Charter Operators, Part 91 Sightseeing Operators, Aircraft Sales Operations, or a Corporate Fleet.  For description of coverages, see the Aircraft Coverage Information under the COVERAGES tab.

Please complete this form to receive your insurance quote.

 
Contact Information: 

Name                Occupation/Business      
Individual     INC     LLC     Partnership     Trust     Municipality 

Contact name (if an organization) 

  Address: Street                            City    
                   State                              Zip

          Day Phone      Alternate Phone   

                       Fax                        Email    

Years in Business      

         Airport Base            Airport Code   


Insurance Information: 

Present Ins. Company        Expires MM/DD/YY 

Has applicant had any losses/claims during last 5 years?    No     Yes*  
Has any insurer canceled, declined or refused to renew any aviation insurance?    No     Yes*  
*If yes, please explain: 
 


Aircraft Fleet Information: 

Liability Limits and Medical Coverages: 

$1,000,000 Combined Single Limit with $100,000 per passenger 
$1,000,000 Combined with no per passenger limitation
Other - Enter amount:  $ 

Medical Coverage Each Passenger:  $3,000 $5,000   $10,000

Additional Coverage: Student Renter Pilot Liability     Non-Owner Liability     Non-Owner Hull  

Coverage $ each aircraft:    


Aircraft Schedule:

Aircraft #1:

FAA#    Make/Mod/Yr   
Value  

Uses (select all that apply): Rental    Instruction    Sightseeing    Charter    Aerial Photo    Sales/Demo

Enter other use(s)  


Aircraft #2:

FAA#    Make/Mod/Yr   
Value

Uses (select all that apply): Rental    Instruction     Sightseeing    Charter   Aerial Photo    Sales/Demo 

Enter other use(s)  


Aircraft #3:

FAA#    Make/Mod/Yr   
Value

Uses (select all that apply) Rental    Instruction     Sightseeing    Charter   Aerial Photo     Sales/Demo

Enter other use(s)  


Aircraft #4:

FAA#    Make/Mod/Yr   
Value

Uses (select all that apply) Rental    Instruction     Sightseeing    Charter   Aerial Photo    Sales/Demo

Enter other use(s)  


Aircraft #5:

FAA#    Make/Mod/Yr   
Value

Uses (select all that apply) Rental    Instruction     Sightseeing    Charter   Aerial Photo    Sales/Demo

Enter other use(s)  


Aircraft #6:

FAA#    Make/Mod/Yr   
Value

Uses (select all that apply) Rental    Instruction     Sightseeing    Charter   Aerial Photo    Sales/Demo

Enter other use(s)  


Aircraft #7:

FAA#    Make/Mod/Yr   
Value

Uses (select all that apply) Rental    Instruction     Sightseeing    Charter   Aerial Photo    Sales/Demo

Enter other use(s)  


Aircraft #8:

FAA#    Make/Mod/Yr   
Value

Uses (select all that apply) Rental    Instruction     Sightseeing    Charter   Aerial Photo    Sales/Demo

Enter other use(s)  


Aircraft #9:

FAA#    Make/Mod/Yr   
Value

Uses (select all that apply) Rental    Instruction     Sightseeing    Charter   Aerial Photo    Sales/Demo

Enter other use(s)  


Aircraft #10:

FAA#    Make/Mod/Yr   
Value

Uses (select all that apply) Rental    Instruction     Sightseeing    Charter   Aerial Photo    Sales/Demo

Enter other use(s)  


Your current pilot warranty or what you would like to request

Fixed Tricycle Gear:   <=200 HP       >201 HP  

Tailwheel Gear:          <=200 HP       >201 HP  

Retractable Gear:       <=200HP       >201 HP  

Multi-Engine:    <=500 Total HP      >501 Total HP  

Rotor Wing:        Gliders:    

Aircraft Losses Past 5 Years: