<<

AUTO ADDENDUM

Acceptance Indemnity Company Occidental Fire & Casualty Insurance Company Acceptance Casualty Insurance Company Wilshire Insurance Company

Applicant/Named Insured: (DBA):

1. Number of per week: Which days? 2. Hours of operation: AM to PM 3. How many lanes are used during the auction day? 4. What is the average number of vehicles sold on a sale day? 5. Provide the following percentages: Type of Auto Auctioned Percentage Type of Auto Auctioned Percentage Farm / Contractors Equipment % Boats % Private Passenger Autos % Motorcycles % Commercial Truck / Tractor / Trailers % Other: % 6. Provide average number of extra part-time people by position on auction days: Average # Average # Position Position Part-Time People Part-Time People Clerical Drivers * (Minimum Age: ) Detailers Security Auctioneers / Ringmen Other: * Must have copy of Drivers License and MVR on file. 7. Provide the following percentages: Percentage of Vehicles Transported: How Vehicles are Transported To Auction From Auction By the owner of the vehicle (Buyer or Seller) % % By Independent driver (show evidence of primary insurance) % % By insured’s service vehicles (wrecker, car hauler, etc.) % % By insured’s part-time drivers (including contract drivers) % % 8. Test driver exposure: a. Are test drives allowed? Yes No If yes, All week long Only on auction days b. Are test drives off auction premises allowed? Yes No If yes, provide details: c. Are overnight test drives allowed? Yes No If yes, provide details: Requirements to drive: Must be at least 21 years old with a valid driver’s license and valid credit card.

Applicant Name Applicant Signature Date

Producer Name Producer Signature Date AG 59 20 08 11 Page 1 of 1