{"text_format":"3","workbook":"xlsx","n_sheets":5,"sheets":["General Application","Vehicle List","Driver List","Do Not Edit","Broker List"],"not_rendered":{"images":1,"macros":1,"external_links":1,"defined_names":13},"read":"whole","date_system":"1900"}

{"sheet":"General Application","index":0,"n_rows":373,"n_cols":18,"rows_kept":373,"merged":[[0,9,0,15],[1,1,1,5],[1,6,1,8],[1,9,1,15],[2,9,2,15],[3,9,3,15],[4,2,4,3],[4,6,4,11],[4,14,4,15],[5,2,5,3],[8,1,8,5],[8,6,8,8],[8,9,8,15],[9,1,9,5],[9,9,9,15],[10,9,10,15],[13,2,13,5],[13,11,13,15],[17,2,17,5],[17,9,17,15],[19,2,19,5],[20,11,20,15],[21,11,21,15],[22,11,22,15],[24,2,24,3],[26,2,26,3],[26,9,26,11],[32,9,32,13],[33,2,33,6],[33,9,33,13],[34,2,34,6],[34,9,34,13],[35,9,35,13],[36,9,36,13],[37,9,37,13],[59,9,59,11],[71,2,71,3],[73,2,73,3],[73,6,73,8],[73,9,73,11],[74,2,74,3],[74,6,74,8],[74,9,74,11],[75,2,75,3],[75,6,75,8],[75,9,75,11],[76,2,76,3],[76,6,76,8],[76,9,76,11],[77,2,77,3],[77,6,77,8],[77,9,77,11],[78,2,78,3],[79,2,79,3],[79,8,79,11],[80,2,80,3],[81,2,81,3],[82,2,82,3],[83,2,83,3],[84,2,84,3],[85,2,85,3],[91,0,91,4],[91,5,91,6],[93,0,93,1],[93,2,93,4],[93,5,93,7],[93,8,93,10],[93,11,93,13],[93,14,93,16],[93,17,93,19],[94,0,94,1],[94,2,94,4],[94,5,94,7],[94,8,94,10],[94,11,94,13],[94,14,94,16],[94,17,94,19],[95,0,95,1],[95,2,95,4],[95,5,95,7],[95,8,95,10],[95,11,95,13],[95,14,95,16],[95,17,95,19],[96,0,96,1],[96,2,96,4],[96,5,96,7],[96,8,96,10],[96,11,96,13],[96,14,96,16],[96,17,96,19],[97,0,97,1],[97,2,97,4],[97,5,97,7],[97,8,97,10],[97,11,97,13],[97,14,97,16],[97,17,97,19],[98,0,98,1],[98,2,98,4],[98,5,98,7],[98,8,98,10],[98,11,98,13],[98,14,98,16],[98,17,98,19],[99,0,99,1],[99,2,99,4],[99,5,99,7],[99,8,99,10],[99,11,99,13],[99,14,99,16],[99,17,99,19],[100,0,100,1],[100,2,100,4],[100,5,100,7],[100,8,100,10],[100,11,100,13],[100,14,100,16],[100,17,100,19],[101,0,101,1],[101,2,101,4],[102,0,102,1],[102,2,102,4],[103,0,103,1],[103,2,103,4],[104,0,104,1],[104,2,104,4],[104,5,104,7],[104,8,104,10],[104,11,104,13],[104,14,104,16],[104,17,104,19],[105,0,105,1],[105,2,105,4],[105,5,105,7],[105,8,105,10],[105,11,105,13],[105,14,105,16],[105,17,105,19],[106,0,106,1],[106,2,106,4],[106,5,106,7],[106,8,106,10],[106,11,106,13],[106,14,106,16],[106,17,106,19],[107,0,107,1],[107,2,107,4],[108,0,108,1],[108,2,108,4],[108,5,108,7],[108,8,108,10],[108,11,108,13],[108,14,108,16],[108,17,108,19],[109,0,109,1],[109,2,109,4],[109,5,109,7],[109,8,109,10],[109,11,109,13],[109,14,109,16],[109,17,109,19],[110,0,110,1],[110,2,110,4],[110,5,110,7],[110,8,110,10],[110,11,110,13],[110,14,110,16],[110,17,110,19],[111,0,111,1],[111,2,111,4],[111,5,111,7],[111,8,111,10],[111,11,111,13],[111,14,111,16],[111,17,111,19],[112,0,112,1],[112,2,112,4],[113,0,113,1],[113,2,113,4],[113,5,113,7],[113,8,113,10],[113,11,113,13],[113,14,113,16],[113,17,113,19],[114,0,114,1],[114,2,114,4],[114,5,114,7],[114,8,114,10],[114,11,114,13],[114,14,114,16],[114,17,114,19],[116,2,116,4],[116,5,116,7],[116,8,116,10],[116,11,116,13],[116,14,116,16],[116,17,116,19],[117,2,117,4],[117,5,117,7],[117,8,117,10],[117,11,117,13],[117,14,117,16],[117,17,117,19],[118,2,118,4],[118,5,118,7],[118,8,118,10],[118,11,118,13],[118,14,118,16],[118,17,118,19],[119,2,119,4],[119,5,119,7],[119,8,119,10],[119,11,119,13],[119,14,119,16],[119,17,119,19],[120,2,120,4],[120,5,120,7],[120,8,120,10],[120,11,120,13],[120,14,120,16],[120,17,120,19],[121,2,121,4],[121,5,121,7],[121,8,121,10],[121,11,121,13],[121,14,121,16],[121,17,121,19],[122,2,122,4],[122,5,122,7],[122,8,122,10],[122,11,122,13],[122,14,122,16],[122,17,122,19],[123,2,123,4],[123,5,123,7],[123,8,123,10],[123,11,123,13],[123,14,123,16],[123,17,123,19],[124,2,124,4],[124,5,124,7],[124,8,124,10],[124,11,124,13],[124,14,124,16],[124,17,124,19],[125,2,125,4],[125,5,125,7],[125,8,125,10],[125,11,125,13],[125,14,125,16],[125,17,125,19],[126,2,126,4],[126,5,126,7],[126,8,126,10],[126,11,126,13],[126,14,126,16],[126,17,126,19],[127,2,127,4],[127,5,127,7],[127,8,127,10],[127,11,127,13],[127,14,127,16],[127,17,127,19],[128,2,128,4],[128,5,128,7],[128,8,128,10],[128,11,128,13],[128,14,128,16],[128,17,128,19],[129,2,129,4],[129,5,129,7],[129,8,129,10],[129,11,129,13],[129,14,129,16],[129,17,129,19],[130,2,130,4],[130,5,130,7],[130,8,130,10],[130,11,130,13],[130,14,130,16],[130,17,130,19],[131,2,131,4],[131,5,131,7],[131,8,131,10],[131,11,131,13],[131,14,131,16],[131,17,131,19],[132,2,132,4],[132,5,132,7],[132,8,132,10],[132,11,132,13],[132,14,132,16],[132,17,132,19],[133,2,133,4],[133,5,133,7],[133,8,133,10],[133,11,133,13],[133,14,133,16],[133,17,133,19],[134,2,134,4],[134,5,134,7],[134,8,134,10],[134,11,134,13],[134,14,134,16],[134,17,134,19],[135,2,135,4],[135,5,135,7],[135,8,135,10],[135,11,135,13],[135,14,135,16],[135,17,135,19],[136,2,136,4],[136,5,136,7],[136,8,136,10],[136,11,136,13],[136,14,136,16],[136,17,136,19],[137,2,137,4],[137,5,137,7],[137,8,137,10],[137,11,137,13],[137,14,137,16],[137,17,137,19],[142,3,142,4],[142,14,142,15],[143,14,143,15],[144,14,144,15],[145,14,145,15],[146,14,146,15],[147,14,147,15],[165,0,165,1],[165,3,165,6],[165,9,165,11],[165,14,165,15],[166,3,166,6],[166,9,166,11],[166,14,166,15],[167,3,167,6],[167,9,167,11],[167,14,167,15],[168,3,168,6],[168,9,168,11],[168,14,168,15],[169,3,169,6],[169,9,169,11],[169,14,169,15],[170,3,170,6],[170,9,170,11],[170,14,170,15],[172,6,172,9],[173,6,173,9],[196,0,196,1],[197,0,197,1],[201,6,201,8],[202,6,202,8],[202,15,202,17],[218,0,218,8],[222,0,222,6],[224,0,224,6],[225,0,225,6],[228,0,228,8],[230,0,230,6],[231,0,231,6],[232,0,232,6],[233,0,233,6],[234,0,234,6],[235,0,235,6],[247,8,247,17],[248,8,248,14],[249,8,249,14],[250,8,250,14],[251,8,251,14],[252,0,252,5],[253,8,253,14],[254,8,254,14],[255,8,255,17],[256,8,256,14],[267,0,267,6],[271,0,271,2],[271,5,271,9],[271,15,271,19],[272,0,272,2],[272,5,272,9],[272,15,272,19],[273,0,273,2],[273,5,273,9],[273,15,273,19],[274,0,274,2],[274,5,274,9],[274,15,274,19],[275,0,275,2],[275,5,275,9],[275,15,275,19],[276,0,276,2],[276,5,276,9],[276,15,276,19],[277,0,277,2],[277,5,277,9],[277,15,277,19],[278,0,278,2],[278,5,278,9],[278,15,278,19],[279,0,279,2],[279,5,279,9],[279,15,279,19],[280,0,280,2],[280,5,280,9],[280,15,280,19],[281,0,281,2],[281,5,281,9],[281,15,281,19],[282,0,282,2],[282,5,282,9],[282,15,282,19],[283,0,283,2],[283,5,283,9],[283,15,283,19],[284,0,284,2],[284,5,284,9],[284,15,284,19],[285,0,285,2],[285,5,285,9],[285,15,285,19],[287,2,287,19],[290,0,290,17],[291,0,291,1],[291,3,291,6],[291,9,291,11],[293,0,293,6],[293,8,293,17],[294,8,294,11],[294,14,294,15],[295,8,295,11],[295,14,295,15],[296,8,296,11],[296,14,296,15],[303,0,303,2],[305,0,305,6],[319,0,319,1],[341,0,341,2],[352,0,352,15],[353,0,353,17],[355,0,355,1],[355,8,355,11],[355,14,355,15],[357,0,357,1],[357,8,357,11],[357,14,357,15],[359,0,359,1]]}
["BROKER INFORMATION",{"$nulls":7},"Date:"]
["Agency:                                                                         ",{"$nulls":5},"Producer's Name:"]
["Agency Phone:",{"$nulls":7},"E-Mail Address:",{"$f":"IFERROR(VLOOKUP($J$2,'Broker List'!$G$1:$J$250,3,FALSE),\"\")","v":""}]
["Agency Fax:",{"$nulls":7},"Producer Phone:",{"$f":"IFERROR(VLOOKUP($J$2,'Broker List'!$G$1:$J$250,4,FALSE),\"\")","v":""}]
["Are you the incumbent agency?",{"$nulls":5},"If Y, how long has your agency written this applicant?"]
[]
[]
["APPLICANT INFORMATION"]
["Effective Date:",{"$nulls":5}," Requested Quote Date:"]
["Applicant's Name:",{"$nulls":5},"Business Type:"]
["Insured DBA:",{"$nulls":5},"Federal ID #:"]
["Year Established:",{"$nulls":7},"Years in Business:"]
[]
["Account Category (choose most applicable):",{"$nulls":7},"New or Renewal?"]
[]
["Is this a new venture?"]
[]
["If new venture, have you ever driven for or been associated with any transportation operation before?",{"$nulls":7},"If Y, please list name of company:"]
[]
["Mailing Address ",{"$nulls":7},"Garaging Address (if different)"]
["Mailing City",{"$nulls":7},"Garaging City"]
["Mailing State",{"$nulls":7},"Garaging State"]
["Mailing Zip",{"$nulls":7},"Garaging Zip"]
[]
["Are mailing and garaging addresses the same?"]
[]
["Primary City of Operations:",{"$nulls":8},"Primary City Zip Code (any zip in city)"]
[]
["Additional Named Insured 1:",{"$nulls":8},"Additional Insured 1 Address:"]
["Additional Named Insured 2:",{"$nulls":8},"Additional Insured 2 Address:"]
[]
["Phone:",{"$nulls":8},"Type of Garaging (Enter Y to all that apply):"]
["Fax:",{"$nulls":8},"Type",{"$nulls":4},"Y/N"]
["Company Website:",{"$nulls":8},"Indoor"]
["Facebook:",{"$nulls":8},"Outdoor"]
[{"$nulls":9},"Fenced"]
[{"$nulls":9},"Lighted"]
[{"$nulls":9},"Security Guard"]
[]
[]
["Key Management Personnel:"]
["Applicant Contact:",{"$nulls":5},"e-mail:",{"$nulls":4},"Ph./Ext.:"]
["President/CEO/Owner/Fleet Manager:",{"$nulls":5},"Yrs. in Position:",{"$nulls":4},"Ph./Ext.:"]
["Operations Manager:",{"$nulls":5},"Yrs. in Position:",{"$nulls":4},"Ph./Ext.:"]
["Safety Director:",{"$nulls":5},"Yrs. in Position:",{"$nulls":4},"Ph./Ext.:"]
["Maintenance Director:",{"$nulls":5},"Yrs. in Position:",{"$nulls":4},"Ph./Ext.:"]
["Subsidiaries/Affiliated Companies"]
["Name:",{"$nulls":7},"Relationship:"]
["Type of Business:",{"$nulls":7},"Included in Insurance?"]
["# of Vehicles/Size of Company:"]
[]
[]
["FILING/GENERAL INFORMATION"]
["Does applicant require an A-rated carrier?"]
["Are there any filings required?",{"$nulls":8},"MC Docket #:"]
["If so, please list all filings required:"]
[]
["Does applicant require intra-state filings?",{"$nulls":10},"USDOT #:"]
["Does applicant allow others to operate under their authority?",{"$nulls":10},"PUC #:"]
["Has the applicant previously allowed others to operate under their authority?",{"$nulls":8},"Other state filing #"]
["If Y, please list states"]
["Please list states where applicant has operating authority:"]
["Please specify any Canadian Filings:"]
["List name and address exactly as listed on filing:"]
[]
["Is there an additional interest?"]
["Additional interest 1(Type/Name/Address):",null,"Additional Insured"]
["Additional interest 2(Type/Name/Address):",null,"Additional Insured"]
[]
["REQUESTED COVERAGES:"]
[]
["Coverages Desired:",null,"Liability Only"]
[]
["AUTO LIABILITY COVERAGE",null,"Coverage Requested",{"$nulls":3},"Physical Damage   Coverage                     ($1M Per Occurrence Limit)",null,null,"Deductible"]
["Single or Split Limit",{"$nulls":5},"Specified Perils"]
["Bodily Injury (Up to $5M) *",{"$nulls":5},"Comprehensive"]
["Property Damage",{"$nulls":5},"Collision"]
["Liability Deductible",{"$nulls":5},"Auto Liability Symbols Covered"]
["Uninsured Motorist "]
["Underinsured Motorist ",{"$nulls":4},"Total Stated Values:"]
["Medical Payments"]
["Personal Injury Protection (PIP)"]
["If required, add'l PIP limits desired (enter limit):"]
["Hired Auto Liability "]
["Non-Owned Auto Liability"]
["Auto Liability Symbols Covered"]
["* Mileage/Gross Receipts, SIR's, and captives also may be available dependent on risk characteristics."]
[]
[]
[]
[]
["Historical Years Available?",{"$nulls":4},0]
[]
["Historical Insurance Coverage (Liability)",null,"Projected",null,null,"Current/Expiring",null,null,"1st Prior",null,null,"2nd Prior",null,null,"3rd Prior",null,null,"4th Prior"]
["Policy Term Start Date"]
["Policy Term End Date (Change if Incorrect)",null,{"$f":"IF(ISBLANK(C95),\"\",DATE(YEAR(C95)+1,MONTH(C95),DAY(C95))-1)","v":""},null,null,{"$f":"IF(ISBLANK(F95),\"\",DATE(YEAR(F95)+1,MONTH(F95),DAY(F95))-1)","v":""},null,null,{"$f":"IF(ISBLANK(I95),\"\",DATE(YEAR(I95)+1,MONTH(I95),DAY(I95))-1)","v":""},null,null,{"$f":"IF(ISBLANK(L95),\"\",DATE(YEAR(L95)+1,MONTH(L95),DAY(L95))-1)","v":""},null,null,{"$f":"IF(ISBLANK(O95),\"\",DATE(YEAR(O95)+1,MONTH(O95),DAY(O95))-1)","v":""},null,null,{"$f":"IF(ISBLANK(R95),\"\",DATE(YEAR(R95)+1,MONTH(R95),DAY(R95))-1)","v":""}]
["Insurance Carrier / Broker"]
["Liability Limits"]
["Liability Deductible"]
["Collision Deductible"]
["Comprehensive Deductible"]
["Auto Liability Premium Per Vehicle"]
["Physical Damage Premium Per Vehicle"]
["Total Premium Per Vehicle"]
["Number of Vehicles"]
["Number of Drivers"]
["Incurred Losses without Deductible Recoveries - Liability"]
["Incurred Losses with Deductible Recoveries - Liability"]
["Number of Claims - Liability"]
["Total Number of Open Claims & Claims >=$400 - Liability"]
["Loss Run Date for Each Term"]
["Incurred Losses without Deductible Recoveries - Physical Damage"]
["Incurred Losses with Deductible Recoveries - Physical Damage"]
["Number of Claims - Physical Damage"]
["Total Number of Open Claims & Claims >=$400 - Physical Damage"]
[]
["Projections & Historical Figures",null,"Projected",null,null," Current/Expiring",null,null,"1st Prior",null,null,"2nd Prior",null,null,"3rd Prior",null,null,"4th Prior"]
["Gross Revenues"]
["Total Fleet Mileage"]
["# of One-Way Trips"]
[]
["Charter Bus (> 29 passengers)"]
["Charter Mini (16-29 passengers)"]
["Charter Van (< 16 passengers)"]
["School Bus (1-8 passengers)"]
["School Bus (9-20 passengers)"]
["School Bus (21-60 passengers)"]
["School Bus (60+ passengers)"]
["School Van"]
["Transit Bus (> 20 passengers)"]
["Small Transit (<= 20 passengers) "]
["Sedan / SUV (non-stretched)"]
["Stretch Limo"]
["Stretch SUV"]
["Super stretch SUV (>200\" stretch)"]
["Limo Bus"]
["Wheelchair Vans"]
["Total units:",null,{"$f":"SUM(C122:C137)","v":0},null,null,{"$f":"SUM(F122:F137)","v":0},null,null,{"$f":"SUM(I122:I137)","v":0},null,null,{"$f":"SUM(L122:L137)","v":0},null,null,{"$f":"SUM(O122:O137)","v":0},null,null,{"$f":"SUM(R122:R137)","v":0}]
[]
["OPERATIONS",{"$nulls":7},{"$f":"IF(O142=100%,\" \",\"TOTAL PERCENTAGES  MUST EQUAL 100%!\")","v":"TOTAL PERCENTAGES  MUST EQUAL 100%!"}]
[]
["USE AS % OF TOTAL MILEAGE",{"$nulls":10},"TOTAL:",null,null,{"$f":"SUM(O143:O148,I143:I150,D143:D150)","v":{"v":0,"d":"0%"}}]
["Charter Bus",{"$nulls":4},"Fixed Route Transit",{"$nulls":3},"Airport Service"]
["Inter-city Scheduled Service",{"$nulls":4},"Demand Response",{"$nulls":3},"Special Occasion Limo"]
["Other Scheduled Service",{"$nulls":4},"Paratransit",{"$nulls":3},"Corporate Sedan"]
["Local Sightseeing or Courtesy Bus",{"$nulls":4},"Non-emergency. Medical",{"$nulls":3},"Black/Silver Car"]
["Before and After School Routes",{"$nulls":4},"Employee Shuttle",{"$nulls":3},"Metered Taxi"]
["School Activity Transportation",{"$nulls":4},"Employment Service",{"$nulls":3},"Non-metered Taxi"]
["Non-School Charter (School type bus only)",{"$nulls":4},"Van Pool"]
["Head Start / Day Care Transportation",{"$nulls":4},"Social Service"]
[]
["List airports served and % of trips to each:"]
["Provide a brief description of your operation:"]
[]
["How many vehicles have meters/fareboxes?"]
[]
["Buses & Limos Section:"]
[]
["Do you travel into Mexico?"]
["Do you service casinos?",{"$nulls":4},"If Yes, what % of trips?"]
["Do you enter into Subcontracting/Interchange Agreements?"]
[]
[]
["DESTINATIONS (Must equal 100%)",{"$nulls":10},"TOTAL:",null,null,{"$f":"SUM(C168:C171,I167:I171,O167:O171)","v":{"v":0,"d":"0%"}}]
["Charter: List all destinations as a % of total trips;  Limo and transit: List areas served and percent of trips;  School: List school districts served. "]
["City, State",null,"%","City, State",{"$nulls":4},"%","City, State",{"$nulls":4},"%"]
[]
[]
[]
[]
[]
[]
["What was the farthest destination traveled to in the past 12 months:"]
["List any destination in Mexico planned for the upcoming 12 months: "]
[]
[]
[]
["RISK SPECIFICS"]
["Hours of Service:",null,null,"Days of Service:",{"$nulls":7},"How many shifts per day?"]
[]
["Radius of Operation:  ","0-50 Miles:",{"$nulls":3},"51-200 Miles:",{"$nulls":3},"200+ Miles:"]
[]
["Do drivers carry cell phones?"]
[]
["Are cell phones hands free?"]
[]
["App used for hailing?"]
[]
["App used for navigation?"]
[]
["Do any vehicles have lights and sirens?"]
[]
["Is there any ridesharing?"]
[]
["Please indicate the extent to which you transport the following as a percentage of total mileage:"]
[]
["Wheelchair Passengers:",{"$nulls":4},"Other Disabled Passengers:"]
["Professional Athletes:",{"$nulls":5},"Entertainment Groups:"]
[]
["Please also indicate the following as a percentage of total mileage:"]
[]
[null,"On call/dispatch",{"$nulls":3},"VS.","Scheduled Service"]
[null,"Door to Door",{"$nulls":3},"VS.","Door through Door",{"$nulls":7},"VS.","Curb to Curb"]
[]
["What percentage of the fleet are wheelchair equipped?"]
["Do you hire from others for your use?",{"$nulls":8},"If Y, Annual Cost of Hire:"]
["Do you hire from others with a driver?",{"$nulls":8},"If Y, Annual Cost of Hire:"]
["Do you lease to others for their use?",{"$nulls":8},"If Y, Annual Income Derived:"]
["Do you lease to others without a driver?",{"$nulls":8},"If Y, Annual Income Derived:"]
["Is there assumed liability by contract/agreement?"]
["Do drivers take vehicles home?"]
["Are the vehicles solely owned by the applicant?"]
[]
["NEMT/Ambulance Only Section"]
[]
["Does the insured subcontract for others?",{"$nulls":7},"If yes, provide copies of contracts."]
["Does the company enter into any written or verbal agreements to provide service?"]
[]
["Certification Section (Enter Y to all that apply, skip if not applicable)"]
[]
["All drivers are both knowledgeable and certified in operating an NEMT"]
["All drivers have received training and are certified in the loading and unloading of wheelchairs"]
["Knowledgeable and certified in the proper securing wheelchair lockdown on 4 point lockdowns including not loading a passenger unless all four points are properly working."]
["Trained in the use of and proper procedures of wheelchair ramps or lifts (if applicable)"]
["Confirm with passengers understanding that the seatbelt must always be fastened and physical impairments and pre-existing injuries must be taken into account when assisting passengers"]
["Complete familiarity with the required procedures in the event of an emergency with a passenger and/or accident regardless of degree of seriousness to either notify Dispatch or call 911"]
[]
[]
["Additional Info (Enter Y to all that apply, skip if not applicable)"]
[]
["Are passengers in tri-wheelers required to transfer to a wheelchair or a permanent seat after loading?"]
["Are wheelchair or stretcher passengers ever permitted to ride in the vehicle in other than the designated securement locations?"]
["Does an attendant accompany stretcher clients? "]
["Will insured be transporting patients to the hospital/clinic/medical appointments?"]
["Will insured be transporting elderly passengers to the senior center?"]
["Will insured be transporting children under the age of 21?"]
[]
[]
[]
[]
[]
["DRIVER INFORMATION  (Please attach Driver Schedule with Dates of Birth, and Dates of Hire)"]
["Total # of Drivers:",null,null,"# over 70 y.o.:",null,null,"# under 25 y.o.:"]
["In the past year, how many drivers were:",null,null,"Hired:",null,null,"Terminated:"]
["How often are current MVRs pulled?"]
[]
["Are Drivers considered independent contractors?"]
[{"$nulls":8},"Answer Y or No to the following questions:"]
[null,null,"Driving","On Duty",{"$nulls":4},"Do you agree to report all drivers to Carrier?"]
["Drivers Maximum Hours Per Day Driving:",{"$nulls":7},"Are any family members under 21 primary drivers of a company auto?"]
["Drivers Maximum Hours Per Week:",{"$nulls":7},"Are all drivers properly licensed and DOT Compliant?"]
[{"$nulls":8},"Have all drivers been driving a similar vehicle for 2+ years?"]
["Driver Hiring Criteria",{"$nulls":7},"Do all drivers have at least 5 years U.S. driving experience?"]
[{"$nulls":8},"Is disciplinary plan documented for all drivers?"]
["Written Application:",null,"Min. Age:",{"$nulls":5},"Is there a driver incentive program?"]
["Road Test:",null,"Max. Age:",{"$nulls":5},"If you are a school bus company, answer the following:  "]
["Written Test:",{"$nulls":7},"Are guest passengers (family members, friends of driver, etc.) authorized passengers on your buses?"]
["Full Medical:",{"$nulls":7},"Do you allow coaches or teachers to drive your vehicles?"]
["Drug Testing:"]
["Current MVR:",{"$nulls":7},"If Y, what is the reason?"]
["Reference Checks:"]
["Criminal Background Check:"]
[]
[]
[]
["MAINTENANCE/SAFETY/DISCOUNTS"]
[]
["Do you have the following:"]
[" Written maintenance program?",null,null,"Written safety program"]
["Written driver-training program?",null,null,"Written accident reporting procedures"]
[]
["Safety Device Category",null,null,"Currently In Place?",null,"Unit Description",{"$nulls":5},"If Yes, # of years in place?",null,null,"% of Fleet","If no, will you be installing during the upcoming policy period?"]
["Cameras",null,null,"N"]
["Accident Event Recorders (AER's)"]
["Location Tracking Device"]
["Navigation/GPS"]
["Mileage Tracking Device"]
["Brake Warning System"]
["Distracted Driving Warning System"]
["Speed Warning System"]
["Other Telematics Devices"]
["Any Active Accident Avoidance Technology"]
["Any Passive Accident Avoidance Technology"]
["Reflective Tape"]
["Step Stools"]
["1-800-HOWSMYDRIVING Program"]
[]
["Company's SAFER rating:"]
[]
[]
["Your vehicle maintenance program includes:"]
["A service record for each vehicle?",null,null,"Controlled and frequent inspections?",{"$nulls":5},"Vehicle daily condition reports?"]
[]
["Enter Y or N to the following questions:",{"$nulls":7},"Other Maintenance Questions:"]
["Is your maintenance program managed by your company?*",{"$nulls":7},"How many certified mechanics do you employ?"]
["Do you provide complete maintenance on all vehicles?*",{"$nulls":7},"How often do you hold safety meetings?"]
["Are Driver Files available for review?*",{"$nulls":7},"Who is in charge of claims?"]
["Are Accident Files available for review?*"]
["Will all claims be reported directly to NARS?*"]
["Does road supervision include Recording Devices?"]
["Does road supervision include Radio Dispatch?"]
[]
[]
["* Please explain \"No\" answers above:"]
[]
["Driver Training Section (Enter Y to all that apply)"]
["Company rules and policies"]
["Vehicle Inspection Procedures"]
["Equipment Familiarization"]
["Route familiarization"]
["Emergency procedures"]
["Accident reporting procedures"]
["Observation Period"]
["Certification Process"]
["Wheelchair Loading"]
["Wheelchair Securing"]
["Is re-training held?"]
[]
["Describe company safety programs:"]
["Describe any safety award/incentive programs:"]
["Describe how and when drivers are evaluated:"]
["Describe Driver Disciplinary plan:"]
["How is FMCSR compliance monitored:"]
{"$rows_empty":11}
["MANDATORY UNDERWRITING QUESTIONS"]
[]
["During the past 4 years, has your insurance ever been obtained through an Assigned Risk Plan?"]
["If Y, Please Explain:"]
["Has any company provided notice of cancellation/non-renewal or otherwise canceled/refused to renew your insurance, including during the current term?  (If Y, please attach a copy of the cancellation/non-renewal notice.)"]
["If Y, Please Explain:"]
["Do you provide Worker's Compensation for all employees?"]
["If Y, provide Worker's Comp.carrier:"]
["If No, Provide Explanation:"]
["Have you ever filed for or contemplated filing for bankruptcy or had bankruptcy proceedings initiated against you by another party?"]
["If Y, Please Explain:"]
["Has your operating authority ever been suspended or revoked or have you received notice of intent to suspend?"]
["If Y, Please Explain:"]
["Is all equipment operated under the applicant's authority scheduled on the applicant's driver and vehicle schedule?"]
["If No, Please Explain:"]
[]
["Applicant and Producer:  Please sign and date the Applicant's Statement Below."]
[]
["APPLICANT'S STATEMENT"]
["I hereby declare that the statements made in this application and the contents of the other documents supplied are true and correct and agree that any policy of insurance that may be issued now or in the future will be based on warranties and representations contained therein.  "]
["APPLICANT ",{"$nulls":7},"PRODUCER"]
[]
["Signature of Officer/Manager of Named Insured                              ",{"$nulls":4},"Date",null,null,"Signature                                                                                                                     ",{"$nulls":6},"Date"]
[]
["Print Full Name                                                                                ",{"$nulls":4},"Title",null,null,"Print Full Name                                                                                                                          ",{"$nulls":6},"Agency"]
[]
[]
[]
["IN ADDITION TO THIS APPLICATION, PLEASE SUBMIT THE FOLLOWING:"]
[]
["               * Currently valued (within 60 days), company issued loss runs for the current policy year and 4 prior years."]
["               * Current driver's list and motor vehicle records for ALL drivers.  Include dates of birth, dates of hire, years experience, social security numbers and license numbers."]
["               * Current DOT medical for all drivers age 70 or older and any driver with less than 2 year medical clearance."]
["               * Current Vehicle list, including year, make, complete VIN, stretch length (limo), seating capacity, vehicle type, stated amount and deductible requested."]
["               * Fuel tax reports (IFTA's) for the last eight quarters for all charter operations."]
["               * Current financials: Income statement and balance sheet "]
["               * Copy of cancellation or non-renewal notice issued in the current or 4 prior years."]
["               * Applicable written agreements for all hired, leased or assumed liability arrangements."]
["               * Provide explanation as to independent contractor status of drivers, if applicable."]

{"sheet":"Vehicle List","index":1,"n_rows":1,"n_cols":23,"rows_kept":1}
["Veh #","Company vehicle #","Insured ID","Plate #","Year","Make","Model","VIN","Cost new","Stated Amount","PD Deductible","Actual Cash Value","Seating capacity","Vehicle Type","Radius","Days driven per week","Date purchased","Leased","Stretch Length (limo)","Wheelchair Lift","Stretchers","Lights and Sirens","List Safety Devices"]

{"sheet":"Driver List","index":2,"n_rows":1,"n_cols":19,"rows_kept":1}
["Driver Name","Date of Birth","Sex","Marital Status","Drivers License Number","DriverLicenseExpireDate","Year Hire Date","Years Experience","Years Licensed","Social Security Number","MVR Provided","# of Minor Violations - Last 5 Years","# of Major Violations (include Speed 25+) - Last 5 Years","# of Speeding (below 25) - Last 5 Years","# of DUI - Last 5 Years","# of Not At Fault - Last 5 Years","# of \"Other\" Violations - Last 5 Years","# of Delaying/Obstructing - Last 5 Years","# of At-Fault Accidents - Last 5 Years"]

{"sheet":"Do Not Edit","index":3,"n_rows":290,"n_cols":38,"rows_kept":290,"hidden":true,"merged":[[0,2,1,2],[0,3,1,3]]}
["Small and Large Fleet Dropdowns","Topic","Small Fleet Checkboxes","Large Fleet Checkboxes","Large Fleet Only Dropdowns",{"$nulls":4},"Deductible",1,{"$nulls":4},"Y","Sub Category",null,"Corporation","New Venture - No Driving Experience",{"$nulls":5},"BI Limits","PD Limits","UM Limits","Liab Deductible","Coll Deductible",{"$nulls":7},"Liability Only"]
[{"$nulls":10},1,{"$nulls":4},"N","Airport Bus/Limo",null,"Partnership","New Venture - Owned Another Company","Subsidiary","New","Weekdays Only","Single",null,"15000/30000",5000,"Decline Coverage",0,0,null,{"v":0,"d":"0%"},"Hourly","Union","Quarterly","Weekly",1,"Physical Damage Only"]
["Business Type",null,2,2,"Excess Physical Damage",{"$nulls":4},"$1,000",2,{"$nulls":5},"Ambulance",null,"Individual","New Venture - Owner Currently Owns Another Company","Affiliate","Renewal","Weekends Only","Split",null,"25000/50000",10000,"15000/30000",500,50,"1) Any Auto","1-10%","By Mileage","Non-Union","Semi-Annually","Bi-Weekly",2,"Liability + Physical Damage"]
[" ",null,1,1,null,"Value?",1,null,null,"$2,500",3,{"$nulls":5},"Athletes/Entertainers Transport",null,"Gov. Entity","New Venture - Owner Was Driver For Another Company",null,null,"Weekdays and Weekends",null,null,30000,15000,"25000/50000",750,100,"2) All Owned Autos","11-20%","Trip",null,"Annually","Monthly",3]
["Corporation",null,2,2,null,"Interested?",1,null,null,"$5,000",4,{"$nulls":5},"Black Car",null,"Joint Venture",{"$nulls":6},"30000/60000",25000,30000,1000,250,"3) Owned Private Passenger Autos","21-30%","Other",null,"Bi-Annually","Quarterly"]
["Partnership",null,3,3,null,"Lighted?",1,null,null,"$10,000",5,{"$nulls":5},"Charter Bus",null,"LLC",{"$nulls":6},35000,35000,"30000/60000",1200,"Decline Coverage","4) Owned Autos Other Than Private Passenger","31-40%",null,null,"Not Pulled","Semi-Annually"]
["Proprietorship",null,4,4,null,"Fuel Tanks?",1,null,null,"$25,000",6,{"$nulls":5},"Church Bus",null,"Other",{"$nulls":6},50000,50000,35000,1500,500,"5) All Owned Autos Which Require No-Fault Coverage","41-50%",{"$nulls":3},"Annually"]
["Gov. Entity",null,5,5,null,"Outside?",1,null,null,"$50,000",7,{"$nulls":5},"Company Vehicles",{"$nulls":8},"50000/100000",75000,50000,1750,{"v":1000,"d":"1,000"},"6) Owned Autos Subject to Compulsory UM Law","51-60%",{"$nulls":3},"Does Not Occur"]
[" ",{"$nulls":4},"Inside?",1,null,null,"$100,000",8,{"$nulls":5},"Hotel/Courtesy Bus",{"$nulls":8},"50000/150000",85000,"50000/100000",2000,{"v":2000,"d":"2,000"},"7) Autos Specified on  Schedule","61-70%"]
[{"$nulls":5},"Flood?",1,null,null,"$250,000",9,{"$nulls":5},"Inter-city Bus",{"$nulls":8},75000,100000,"50000/150000",2250,{"v":2500,"d":"2,500"},"8) Hired Autos","71-80%"]
["States",null,6,1,null,"Guard?",1,{"$nulls":9},"Limo Service 1-8",{"$nulls":8},85000,125000,75000,2500,{"v":3000,"d":"3,000"},"9) Non-Owned Autos","81-90%"]
[" ",null,12,1," ",null,1,{"$nulls":3},"Service Performed",null,1,{"$nulls":3},"Limo Service 9 & up",{"$nulls":8},100000,150000,85000,3000,{"v":5000,"d":"5,000"},"2,8,9","91-100%"]
[" ",null,1,1,"Yes",null,2,{"$nulls":3}," ",null,1,{"$nulls":3},"NEMT",{"$nulls":8},"100000/300000",250000,100000,3500,null,"7,8,9"]
[" ",null,1,1,"No",null,3,{"$nulls":3},"Yes",null,2,{"$nulls":3},"School Bus",{"$nulls":8},125000,300000,"100000/300000",5000]
["AL",null,2,2," ",{"$nulls":5},"No",null,3,{"$nulls":3},"Shuttle Service",{"$nulls":8},"125000/300000",350000,125000,10000]
["AK",null,3,3,null,null,3,{"$nulls":3}," ",{"$nulls":5},"Sightseeing Bus",{"$nulls":8},150000,500000,"125000/300000",25000]
["AZ",null,4,4,{"$nulls":12},"Social Service Agency",{"$nulls":8},250000,650000,150000,50000]
["AR",null,5,5,{"$nulls":12},"Taxi Service - All Other",{"$nulls":8},"250000/500000",750000,250000,60000]
["CA",null,6,6,"Garage Coverages",null,1,{"$nulls":9},"Taxicab - Owner-driver",{"$nulls":8},300000,1000000,"250000/500000"]
["CO",null,7,7," ",null,1,{"$nulls":9},"TNC",{"$nulls":8},350000,1500000,300000]
["CT",null,8,8,{"v":1000000,"d":"$1,000,000"},null,2,{"$nulls":9},"Urban Bus",{"$nulls":8},500000,2000000,350000]
["DE",null,9,9,"Other",null,3,{"$nulls":9},"Van Pool Under 1-8",{"$nulls":8},650000,3000000,500000]
["FL",null,10,10,{"$nulls":12},"Van Pool Under 9-20",{"$nulls":8},750000,5000000,650000]
["GA",null,11,11," ",{"$nulls":11},"Van Pool Under 21-60",{"$nulls":8},1000000,null,750000]
["HI",null,12,12,{"$nulls":12},"Van Pool Above 60",{"$nulls":8},1500000,null,1000000]
["ID",null,13,13,"Garagekeepers Legal Liability",null,1,null,"Deductible",{"$nulls":16},2000000,null,1500000]
["IL",null,14,14," ",null,1,{"$nulls":4},1,{"$nulls":13},3000000,null,2000000]
["IN",null,15,15,{"v":60000,"d":"$60,000"},null,2,{"$nulls":4},1,{"$nulls":13},4000000,null,3000000]
["IA",null,16,16,{"v":75000,"d":"$75,000"},null,3,null,null,"Specified Perils/Comp. :",null,1,{"$nulls":13},5000000,null,4000000]
["KS",null,17,17,{"v":90000,"d":"$90,000"},null,4,null," ","Collision:",null,1,{"$nulls":15},5000000]
["KY",null,18,18,{"v":120000,"d":"$120,000"},null,5,null,"$250","Per Occurrence",null,2]
["LA",null,19,19,{"v":150000,"d":"$150,000"},null,6,null,"$500",null,null,3]
["ME",null,20,20,{"v":180000,"d":"$180,000"},null,7,null,"$1,000",null,null,4]
["MD",null,21,21,{"v":225000,"d":"$225,000"},null,8,null,"$2,500",null,null,5]
["MA",null,22,22,{"v":300000,"d":"$300,000"},null,9,null,"$5,000",null,null,6]
["MI",null,23,23,{"v":375000,"d":"$375,000"},null,10,null,"$10,000",null,null,7]
["MN",null,24,24,{"v":450000,"d":"$450,000"},null,11,null,"$20,000",null,null,8]
["MS",null,25,25,{"v":600000,"d":"$600,000"},null,12,null," "]
["MO",null,26,26,{"v":750000,"d":"$750,000"},null,13]
["MT",null,27,27," "]
["NE",null,28,28]
["NV",null,29,29]
["NH",null,30,30]
["NJ",null,31,31]
["NM",null,32,32]
["NY",null,33,33]
["NC",null,34,34]
["ND",null,35,35,null,1,1]
["OH",null,36,36,null,2,2]
["OK",null,37,37,null,3,3]
["OR",null,38,38]
["PA",null,39,39]
["RI",null,40,40]
["SC",null,41,41]
["SD",null,42,42,null,1]
["TN",null,43,43,null,1]
["TX",null,44,44,null,2]
["UT",null,45,45,null,3]
["VT",null,46,46,null,4]
["VA",null,47,47]
["WA",null,48,48]
["WV",null,49,49]
["WI",null,50,50]
["WY",null,51,51]
[" "]
[]
["Subsidiary/Affiliate",null,2,1]
[" ",null,1,1]
["Subsidiary  ",null,2,2]
["Affiliate",null,3,3]
[" "]
[]
["Included in Insurance?",null,1,1]
[" ",null,1,1]
["Yes",null,2,2]
["No",null,3,3]
[" "]
[]
["UM/UIM"]
{"$rows_empty":10}
["Nonowned Liability"]
{"$rows_empty":11}
["Phys. Dam Deductibles"]
[null,"Specified Perils",1,2]
[null,"Comprehensive",1,1]
[null,"Collision",1,2]
[" ",null,{"v":1,"d":"1 "},{"v":1,"d":"1 "}]
["$1,000",null,{"v":2,"d":"2 "},{"v":2,"d":"2 "}]
["$2,500",null,{"v":3,"d":"3 "},{"v":3,"d":"3 "}]
["$5,000",null,{"v":4,"d":"4 "},{"v":4,"d":"4 "}]
["$10,000",null,{"v":5,"d":"5 "},{"v":5,"d":"5 "}]
["$20,000",null,{"v":6,"d":"6 "},{"v":6,"d":"6 "}]
[" "]
[]
["Location Classes",null,null,4]
[null,"Location 1",1,2]
[null,"Location 2",1,4]
[null,"Location 3",1,3]
[null,"Location 4",1,4]
[" ",null,1,1]
["Office",null,2,2]
["Parking Lot",null,3,3]
["Indoor Parking Facility",null,4,4]
[]
["Limits Requested Questions"]
[null,"Products Comp. Operations ",1,1]
[null,"Parking owned?",1,1]
[null,"Fee Charged?",1,1]
[" ",null,1,1]
["Yes",null,2,2]
["No",null,3,3]
[]
["Owned or Rented?"]
[null,"Location 1",1,2]
[null,"Location 2",1,2]
[null,"Location 3",1,2]
[null,"Location 4",1,2]
[" ",null,1,1]
["Owned",null,2,2]
["Rented",null,3,3]
[" "]
[]
["Fenced?"]
[null,"Location 1",1,3]
[null,"Location 2",1,3]
[null,"Location 3",1,3]
[null,"Location 4",1,3]
[" ",null,1,1]
["Yes",null,2,2]
["No",null,3,3]
[" "]
[]
["Night Watch?"]
[null,"Location 1",1,2]
[null,"Location 2",1,2]
[null,"Location 3",1,2]
[null,"Location 4",1,2]
[" ",null,1,1]
["Yes",null,2,2]
["No",null,3,3]
[" "]
[]
["General Liability Questions"]
[null,"Residence?",1,1]
[null,"Storage?",1,1]
[" ",null,1,1]
["Yes",null,2,2]
["No",null,3,3]
[" "]
[]
["Wheelchair"]
[null,"Wheelchair equipped?",1,1]
[" ",null,1,1]
[{"v":0,"d":"0%"},null,2,2]
["1%-9%",null,3,3]
[{"v":0.1,"d":"10%"},null,4,4]
[{"v":0.2,"d":"20%"},null,5,5]
[{"v":0.3,"d":"30%"},null,6,6]
[{"v":0.4,"d":"40%"},null,7,7]
[{"v":0.5,"d":"50%"},null,8,8]
[{"v":0.6,"d":"60%"},null,9,9]
[{"v":0.7,"d":"70%"},null,10,10]
[{"v":0.8,"d":"80%"},null,11,11]
[{"v":0.9,"d":"90%"},null,12,12]
[{"v":1,"d":"100%"},null,13,13]
[" "]
[]
["Days of Operation",null,1,2]
[" ",null,1,1]
["Weekdays Only",null,2,2]
["Weekends Only",null,3,3]
["Weekdays and Weekends",null,4,4]
[" "]
[]
["Type Transported"]
[null,"Wheelchair",1,1]
[null,"Other Disabled",1,1]
[null,"Professional Athletes",1,1]
[null,"Entertainment Groups",1,1]
[null,"On Call/Dispatch",1,1]
[null,"Scheduled",1,1]
[null,"Door to Door",1,1]
[null,"Curb to Curb",1,1,null,"Radius"]
[" ",null,1,1,null,null,"0-50",1,1]
[{"v":0,"d":"0%"},null,2,2,null,null,"51-200",1,1]
[{"v":0.1,"d":"10%"},null,3,3,null,null,"200+",1,1]
[{"v":0.2,"d":"20%"},null,4,4,null," ",null,1,1]
[{"v":0.3,"d":"30%"},null,5,5,null,{"v":0,"d":"0%"},null,2,2]
[{"v":0.4,"d":"40%"},null,6,6,null,{"v":0.1,"d":"10%"},null,3,3]
[{"v":0.5,"d":"50%"},null,7,7,null,{"v":0.2,"d":"20%"},null,4,4]
[{"v":0.6,"d":"60%"},null,8,8,null,{"v":0.3,"d":"30%"},null,5,5]
[{"v":0.7,"d":"70%"},null,9,9,null,{"v":0.4,"d":"40%"},null,6,6]
[{"v":0.8,"d":"80%"},null,10,10,null,{"v":0.5,"d":"50%"},null,7,7]
[{"v":0.9,"d":"90%"},null,11,11,null,{"v":0.6,"d":"60%"},null,8,8]
[{"v":1,"d":"100%"},null,12,12,null,{"v":0.7,"d":"70%"},null,9,9]
[" ",{"$nulls":4},{"v":0.8,"d":"80%"},null,10,10]
[{"$nulls":5},{"v":0.9,"d":"90%"},null,11,11]
[{"$nulls":5},{"v":1,"d":"100%"},null,12,12]
["Driver Questions/Filing Information",{"$nulls":4}," "]
[null,"Hire from others for your use?",1,1]
[null,"Hire from others with driver?",1,1]
[null,"Lease to others for their use?",1,1]
[null,"Lease to others without a driver?",1,1]
[null,"Assumed liability?",1,1]
[null,"5 Years experience?",1,1]
[null,"Agree to report drivers?",1,1]
[null,"Family members under 21?",1,1,null," "]
[null,"Drivers licensed?",1,1,null,"Yes"]
[null,"Similar vehicle?",null,1,null,"No (Explain)"]
[null,"Independent contractors?",null,1,null," "]
[null,"Guest passengers?",null,1]
[null,"Coaches or teachers?",null,1]
[null,"Written maintenance program?",null,1]
[null,"Application?",null,1]
[null,"Medical?",null,1]
[null,"Driver-training program?",null,1]
[null,"Road test?",null,1]
[null,"Drug testing?",null,1]
[null,"Safety program?",null,1]
[null,"Written test?",null,1]
[null,"Current MVR?",null,1]
[null,"Accident reporting?",null,1]
[null,"Reference checks",null,1]
[null,"Service record?",null,1]
[null,"Disciplinary plan?",null,1]
[null,"Inspections?",null,1]
[null,"Condition reports?",null,1]
[null,"Recording devices",null,1]
[null,"Radio dispatch",null,1]
[null,"Maintenance managed?",null,1]
[null,"Maintenance on all?",null,1]
[null,"Driver files?",null,1]
[null,"Accident files?",null,1]
[null,"Claims reported to NIIC?",null,1]
[null,"Safety meetings?",null,1]
[null,"FHWA Filing?",1,3]
[null,"Intra-state Filing?",1,1]
[null,"Allow others to operate?",1,1]
[" ",null,1,1]
["Yes",null,2,2]
["No",null,3,3]
[" "]
[" "]
["Historical Coverages"]
[null,"Assigned Risk Plan?",1,1]
[null,"Notice given?",1,1]
[null,"Workers' Compensation?",1,1]
[null,"Bankruptcy?",1,1]
[null,"Operating authority problems?",1,1]
[" ",null,1,1]
["Yes (Explain)",null,2,2]
["No",null,3,3]
[" "]
[]
[null,"Equipment scheduled?",1,1]
[" ",null,1,1]
["Yes ",null,2,2]
["No (Explain)",null,3,3]
[" "]
[]
["Hired, Leased, or Assumed Liability"]
["(Small Fleet)",{"$nulls":3},"(Large Fleet)"]
[{"$f":"COUNTIF(C219:C223,2)","v":0},{"$nulls":3},{"$f":"COUNTIF('Do Not Edit'!D219:D223,2)","v":0}]
[]
[]
["Supplemental Wheelchair Application"]
["(Small Fleet)",{"$nulls":3},"(Large Fleet)"]
[{"$f":"COUNTIF(C171,1)","v":1},{"$nulls":3},{"$f":"COUNTIF(D171,1)","v":1}]
[{"$f":"COUNTIF(C171,2)","v":0},{"$nulls":3},{"$f":"COUNTIF(D171,2)","v":0}]
[{"$f":"COUNTIF(C171,3)","v":0},{"$nulls":3},{"$f":"COUNTIF(D171,3)","v":0}]
[{"$f":"SUM(A287:A289)","v":1},{"$nulls":3},{"$f":"SUM(E287:E289)","v":1}]

{"sheet":"Broker List","index":4,"n_rows":160,"n_cols":10,"rows_kept":160,"hidden":true}
["Broker",{"$nulls":5},"AgentName","Broker","AgentEmail","AgentPhone"]
["Advantage One Insurance",{"$nulls":5},"Ahmad \"Al\" Rwais","Saberlines Insurance Services","AALRWAIS@SABERLINESINS.COM","(909) 608 - 0612"]
["American Business Insurance Services",{"$nulls":5},"Alex Watson","Hilb Group of Virginia","awatson@hilbgroup.com","(336) 506 - 6636"]
["American Business Insurance Services - B",{"$nulls":5},"Alex Watson","Venture Specialty Insurance","awatson@hilbgroup.com","(336) 506-6636 x200"]
["American Specialty Insurance Group, Inc",{"$nulls":5},"Alyssa Moyer","TIPS Insurance","alyssa@pictips.com"]
["Atlantis Business Insurance Solutions",{"$nulls":5},"Anabela Fuentes","Preferred Risk Agency","AnabelaF@PRA-LLC.com","(973) 845 - 6004"]
["Clay Thomas & Associates LLC",{"$nulls":5},"Andrew Gross","Fairmont Insurance Advantage","agross@fairmontins.com","(718) 906-0458"]
["Creative Insurance Services LLC",{"$nulls":5},"Andrew York","American Business Insurance Services","ayork@abiweb.com","(800) 980 - 1950"]
["Distinctive Insurance",{"$nulls":5},"Beverly Monroe","Financial Associates Inc. DBA Research Underwriters","bmonroe@researchunderwriters.com","(800) 727 - 3732"]
["Fairmont Insurance Advantage",{"$nulls":5},"Blake Spahn","American Business Insurance Services","blake@abiweb.com","(800) 980 - 1950"]
["Financial Associates Inc. DBA Research Underwriters",{"$nulls":5},"Brad Bartholomew","Risk Partners, Inc.","bbartholomew@riskpartnersinc.com","(609) 714 - 7760"]
["Geny Insurance Group, LLC",{"$nulls":5},"Bryan Moore","Preferred Transportation Insurance Agency","bryanm@preferredtransportationinsurance.com","(714) 348 - 1610"]
["Hemly Insurance Group",{"$nulls":5},"Carla Carter","Cornell Insurance Services LLC","ccarter@cornellins.com","(732) 902-2420 x103"]
["HILB Group of New Jersey",{"$nulls":5},"Carmen Iskander","Jenkins Financial Insurance Agency","carmeninsurance@aol.com","(619) 444 - 4664"]
["Hilb Group of Virginia",{"$nulls":5},"Charlene Brewer ","Professional Risk Solutions","Charlene@prsbrokers.com"]
["Hospitality Insurance Agency LLC",{"$nulls":5},"Cheryl Lasher","Powers-Leavitt","cheryl-lasher@leavitt.com","(623) 298 - 3161"]
["Imobisa Insurance",{"$nulls":5},"Chris Courtad","P.A. Post Agency LLC","ccourtad@papost.com","(216) 952 - 4002"]
["Insurance Office of America",{"$nulls":5},"Christopher Lee","LuxQuote LLC","chris@luxquote.com","(415) 805 - 2838"]
["Jenkins Financial Insurance Agency",{"$nulls":5},"Clarke White","Hilb Group of Virginia","cwhite@hilbgroup.com","(336) 506 - 6103"]
["JIA Insurance Agency LLC",{"$nulls":5},"Craig Sanassarian","Insurance Office of America","Craig.sanassarian@ioausa.com","(530) 888 - 7300"]
["JRS Insurance Group",{"$nulls":5},"Dan McCabe","Clay Thomas & Associates LLC","Dmccabe@claythomasassoc.com","(201) 252 - 8610"]
["Kettering Rose Insurance Services",{"$nulls":5},"Dan McCabe","P.A. Post Agency LLC","Dmccabe@claythomasassoc.com","(201) 252 - 8610"]
["Kiely Hines & Assoc. Ins.",{"$nulls":5},"Daniela Costanzo","MORENO & GRAHAM INSURANCE SERVICES, INC.","dcostanzo@mgins.net","(714) 505 - 2907"]
["Leeds & York",{"$nulls":5},"Dave Haley","American Business Insurance Services","Dave@abiweb.com","(800) 980 - 1950"]
["LuxQuote LLC",{"$nulls":5},"Dave Massaro","P.A. Post Agency LLC","dmassaro@papost.com"]
["Maximum Independent Brokerage, LLC",{"$nulls":5},"David B. Staggard","Cornell Insurance Services LLC","dstaggard@cornellins.com","(732) 902-2420"]
["MORENO & GRAHAM INSURANCE SERVICES, INC.",{"$nulls":5},"David D'Andrea","Preferred Risk Agency","david@pra-llc.com"]
["New America Insurance",{"$nulls":5},"Debbie Burdick","American Business Insurance Services","debbie@abiweb.com","(800) 980 - 1950"]
["Northern Star Management",{"$nulls":5},"Deborah Metzger","Advantage One Insurance","dmetzger@sccoast.net","(843) 445 - 6888"]
["Onyx Transportation Services",{"$nulls":5},"Dee Gonzales","Stateline Insurance Solutions","dee@sis.email","(817) 459 - 2590"]
["P.A. Post Agency LLC",{"$nulls":5},"Diana Garcia","Professional Insurance Strategies","diana@proinsgroup.com","(623) 463 - 9000"]
["Partners Specialty Group, LLC",{"$nulls":5},"Donna Lamcaj","HILB Group of New Jersey","dlamcaj@postfinancial.com","(201) 252 - 3016"]
["Patrick Neal Insurance Services - Youtube Insurance Services",{"$nulls":5},"Donna Lamcaj","P.A. Post Agency LLC","dlamcaj@papost.com","(201) 252-3016"]
["Powers-Leavitt",{"$nulls":5},"Dwight Zivo","Parr Insurance Brokerage, Inc.","dwight@parrinsurancebrokerage.com","(773) 489 - 3001"]
["Preferred Risk Agency",{"$nulls":5},"Eric Leibowitz","Professional Risk Solutions","eric@prsbrokers.com"]
["Preferred Transportation Insurance Agency",{"$nulls":5},"Erin Reitler","Financial Associates Inc. DBA Research Underwriters","ereitler@researchunderwriters.com","(412) 351 - 5800"]
["Professional Insurance Strategies",{"$nulls":5},"Felix German","Atlantis Business Insurance Solutions","info@bizinsuranceadvisors.com","(415) 335 - 0900"]
["Risk Partners, Inc.",{"$nulls":5},"Francis Imobisa","Imobisa Insurance","imobisainsurance@gmail.com","(804) 270 - 6632"]
["Saberlines Insurance Services",{"$nulls":5},"Gary Hanson","Professional Insurance Strategies","ghanson@proinsgroup.com","(623) 463 - 9000"]
["Schroeder Coverage LLC",{"$nulls":5},"Gena Litinsky","Creative Insurance Services LLC","gena@creativeinsllc.com","(818) 591 - 8017"]
["Top Notch Insurance Solutions",{"$nulls":5},"George Wilk","American Business Insurance Services","george@abiweb.com","(800) 980 - 1950"]
["Valley Regional Insurance Services",{"$nulls":5},"Gretchen Bullock","Professional Insurance Strategies","gretchen@proinsgroup.com","(623) 463 - 9000"]
["TIPS Insurance",{"$nulls":5},"Heather Bechelli","Clay Thomas & Associates LLC","hbechelli@emailcta.com","(201) 252 - 8610"]
[{"$nulls":6},"Heather Dezayas","Financial Associates Inc. DBA Research Underwriters","hdezayas@researchunderwriters.com"]
[{"$nulls":6},"Hugh Tamoney","American Specialty Insurance Group, Inc","Hugh@asiginsurance.com","(561) 683 - 1220"]
[{"$nulls":6},"James Schroeder","Schroeder Coverage LLC","james@schroedercoverage.com","(440) 617 - 9010"]
[{"$nulls":6},"Jeanette Peraza","P.A. Post Agency LLC","jperaza@papost.com"]
[{"$nulls":6},"Jeff Schmidt","Financial Associates Inc. DBA Research Underwriters","jeff@researchunderwriters.com"]
[{"$nulls":6},"Jeff Serber","American Business Insurance Services","jeff@abiweb.com","(800) 980-1950"]
[{"$nulls":6},"Jennifer","Hilb Group of Virginia","jhauser@hilbgroup.com"]
[{"$nulls":6},"Jennifer Holmes","Preferred Risk Agency","Jennifer@pra-llc.com","(973) 845 - 6004"]
[{"$nulls":6},"Jeremy Williams","Hospitality Insurance Agency LLC","jeremy@hospitality-ins.com","(843) 407 - 5082"]
[{"$nulls":6},"Jessica Hewitt","American Business Insurance Services","jessica@abiweb.com","(800) 980 - 1950"]
[{"$nulls":6},"Jessica Melito","Links Insurance Services LLC"," JMelito@linksins.onmicrosoft.com"]
[{"$nulls":6},"Jessica Poston","Hospitality Insurance Agency LLC","csry@hospitality-ins.com"]
[{"$nulls":6},"Jesslyn Stayner","Valley Regional Insurance Services","Jesslyn@valleyregional.com","(559) 446 - 1398"]
[{"$nulls":6},"Jim Bohn","Kiely Hines & Assoc. Ins.","jbohn@kielyhines.com","(502) 569 - 2716"]
[{"$nulls":6},"Joel Batmale","Insurance Office of America","joel.batmale@ioausa.com","(530) 888 - 7300"]
[{"$nulls":6},"John Lais","L3 Insurance Advisors, LLC ","jlais@l3insuranceadvisors.com"]
[{"$nulls":6},"John Motley","Northern Star Management","jmotley@northernstarins.com","(908) 253 - 9484"]
[{"$nulls":6},"Joseph N. De Francesco","Partners Specialty Group, LLC","jdefrancesco@psgins.com","(484) 322-0420"]
[{"$nulls":6},"Katherine Haley","American Business Insurance Services","khaley@abiweb.com","(800) 980 - 1950"]
[{"$nulls":6},"Katy Batista","P.A. Post Agency LLC","kbatista@papost.com"]
[{"$nulls":6},"Keith Adams","P.A. Post Agency LLC","kadams@papost.com"]
[{"$nulls":6},"Ken Welch","Hemly Insurance Group","kwelch@hemly.us","(864) 567 - 3482"]
[{"$nulls":6},"Kevin Clausen","Northern Star Management","kclausen@northernstarins.com","(908) 253 - 9484"]
[{"$nulls":6},"Kristen Ilsemann","Partners Specialty Group, LLC","kilsemann@psgins.com","(484) 322 - 0467"]
[{"$nulls":6},"Kristin Bennett","Hilb Group of Virginia","kbennett@hilbgroup.com","(804) 205-1207"]
[{"$nulls":6},"Krystle Morgan","Insurance Office of America","Krystle.Morgan@ioausa.com"]
[{"$nulls":6},"Latonya Foster","Imobisa Insurance","lfoster@imobisainsurance.com","(804) 270 - 6632"]
[{"$nulls":6},"Laura Loftus","American Business Insurance Services","laura@abiweb.com","(800) 980 - 1950"]
[{"$nulls":6},"Lisa M. Massaro ","P.A. Post Agency LLC","lmassaro@papost.com","(201) 252-3064"]
[{"$nulls":6},"Lou Sukalski","New America Insurance","newamlou@msn.com","(440) 934-7766"]
[{"$nulls":6},"Louis Campisano","Preferred Risk Agency","Louisjr@pra-llc.com","(973) 845 - 6004"]
[{"$nulls":6},"Lynnsey Moyer","TIPS Insurance","lmoyer@pictips.com","(610) 622-1954"]
[{"$nulls":6},"Manny Holden","P.A. Post Agency LLC","mholden@papost.com","(201) 252-3018"]
[{"$nulls":6},"Maranda Mull","Financial Associates Inc. DBA Research Underwriters","mmull@researchunderwriters.com"]
[{"$nulls":6},"Maria Jarvis","JIA Insurance Agency LLC","mjarvis@jarvisins.com","(951) 395 - 2229"]
[{"$nulls":6},"Marie Gabriel","Advantage One Insurance","mgabriel@sccoast.net","(843) 445 - 6888"]
[{"$nulls":6},"Marlene Flores","Professional Insurance Strategies","marlene@proinsgroup.com","(623) 463 - 9000"]
[{"$nulls":6},"Matt Gumm","Hilb Group of Virginia","mgumm@hilbgroup.com","(866) 976 - 8294"]
[{"$nulls":6},"Maya Vaysman","Fairmont Insurance Advantage","mvaysman@FairmontIns.com"]
[{"$nulls":6},"Michael Stewart","Distinctive Insurance","mstewart@distinctive.net","(702) 874 - 3099"]
[{"$nulls":6},"Michelle Duran","Preferred Transportation Insurance Agency","michelle@preferredtransportationinsurance.com","(714) 666-6691"]
[{"$nulls":6},"Michelle York","American Business Insurance Services","MYork@abiweb.com","(800) 980 - 1950"]
[{"$nulls":6},"Miguel Leon","Preferred Risk Agency","miguel@pra-llc.com","(973) 845 - 6004"]
[{"$nulls":6},"Mike Guilbault","Kettering Rose Insurance Services","Mikeg@kr-ins.com","(619) 291 - 7777"]
[{"$nulls":6},"Moshe Deutsch","Fairmont Insurance Advantage","Mdeutsch@fairmontins.com"]
[{"$nulls":6},"Nathan Spears","Geny Insurance Group, LLC","nathan@genyinsurance.com","(615) 515 - 8600"]
[{"$nulls":6},"Nichole Haley","American Business Insurance Services","Nhaley@abiweb.com","(800) 980 - 1950"]
[{"$nulls":6},"Patricia Mesa","HILB Group of New Jersey","pmesa@claythomasassoc.com","(201) 252 - 8610"]
[{"$nulls":6},"Patricia Mesa","HILB Group of New Jersey","pmesa@claythomasassoc.com","(201) 252 - 8610"]
[{"$nulls":6},"Patrick Grubb","American Specialty Insurance Group, Inc","patrick@asiginsurance.com","(561) 683 - 1220"]
[{"$nulls":6},"Patrick Neal","Patrick Neal Insurance Services - Youtube Insurance Services","patrick@youtubeinsurance.com","(925) 963 - 8089"]
[{"$nulls":6},"Patti Diskin","Financial Associates Inc. DBA Research Underwriters","pdiskin@researchunderwriters.com","(412) 351 - 5800"]
[{"$nulls":6},"Peter Zaki","Cornell Insurance Services LLC","Pzaki@cornellins.com","(732) 860 - 7014"]
[{"$nulls":6},"Philip Palmer","Kiely Hines & Assoc. Ins.","ppalmer@kielyhines.com","(502) 893-2020"]
[{"$nulls":6},"Philo Bashay","LuxQuote LLC","philo@luxquote.com","(203) 973 - 7589"]
[{"$nulls":6},"Philo Bishay","LuxQuote LLC","philo@luxquote.com"]
[{"$nulls":6},"Rafeeq Salaam","JRS Insurance Group","jrafeeq@gmail.com","(804) 433 - 3634"]
[{"$nulls":6},"Rebecca Novotchin","Preferred Transportation Insurance Agency","rebeccan@preferredtransportationinsurance.com","(714) 666 - 6691"]
[{"$nulls":6},"Reid Wood","Top Notch Insurance Solutions","reid@topnotchinsurance.com"]
[{"$nulls":6},"Renee Filippelli","Clay Thomas & Associates LLC","rfilippelli@claythomasassoc.com","(201) 252 - 8610"]
[{"$nulls":6},"Renee Filippelli ","P.A. Post Agency LLC","rfilippelli@papost.com","(201) 252-8610 x7014"]
[{"$nulls":6},"Rich Burnstein","Solomon & Solomon","rich@solomonins.com","(949) 521-6506"]
[{"$nulls":6},"Rick Grimes  ","Professional Risk Solutions","Rick@prsbrokers.com"]
[{"$nulls":6},"Robert Rashidi","Top Notch Insurance Solutions","robert@topnotchinsurance.com","(206) 264 - 6267"]
[{"$nulls":6},"Rodrigo Carrera","Links Insurance Services LLC","Rcarrera@linksins.com"]
[{"$nulls":6},"Roxann Robinson","Leeds & York","rromero@leedsandyork.com","(775) 823 - 9777"]
[{"$nulls":6},"Roxanne Browning ","Assured Neace Lukens Insurance ","Roxanne.Browning@assuredptrnl.com"]
[{"$nulls":6},"Rus Rakoszynski","Fairmont Insurance Advantage","rusr@fairmontins.com","(718) 906 - 0462"]
[{"$nulls":6},"Sandra Downs","Kiely Hines & Assoc. Ins.","sdowns@kielyhines.com","(502) 893-2020"]
[{"$nulls":6},"Sara Scott","Northern Star Management","sscott@northernstarins.com","(937) 432 - 3526"]
[{"$nulls":6},"Scott Rovner","TIPS Insurance","scottr@pictips.com","(610) 622 - 1954"]
[{"$nulls":6},"Shelagh Wahl-Grubb","American Specialty Insurance Group, Inc","SHELAGH@ASIGINSURANCE.COM","(561) 683 - 1220"]
[{"$nulls":6},"Staci Jimenez","Preferred Transportation Insurance Agency","stacij@preferredtransportationinsurance.com","(714) 666 - 6691"]
[{"$nulls":6},"Stephen Vaughan","Links Insurance Services LLC","svaughan@linksins.com"]
[{"$nulls":6},"Stewart Felvey","Hilb Group of Virginia","sfelvey@hilbgroup.com","(866) 976 - 8294"]
[{"$nulls":6},"Sue Chaffo","Financial Associates Inc. DBA Research Underwriters","schaffo@researchunderwriters.com","(412) 351 - 5800"]
[{"$nulls":6},"Susan Malka","Fairmont Insurance Advantage","smalka@fairmontins.com","(718) 906-0420"]
[{"$nulls":6},"Susan Snelling","Kiely Hines & Assoc. Ins.","ssnelling@kielyhines.com"]
[{"$nulls":6},"Tammy Poston","Hospitality Insurance Agency LLC","tammy@hospitality-ins.com","(843) 407 - 5082"]
[{"$nulls":6},"Taylor Naud","American Business Insurance Services","taylor@abiweb.com","(800) 980 - 1950"]
[{"$nulls":6},"Teresa DelRial ","L3 Insurance Advisors, LLC ","teresa@l3insuranceadvisors.com","(702) 222-0400"]
[{"$nulls":6},"Thomas Clancy","American Specialty Insurance Group, Inc","Tclancy@asiginsurance.com","(561) 683 - 1220"]
[{"$nulls":6},"Thomas Rosario","American Business Insurance Services","thomas@abiweb.com","(800) 980 - 1950"]
[{"$nulls":6},"Tiffany Pastorius","Insurance Office of America","tiffany.pastorius@ioausa.com","(925) 660 - 3523"]
[{"$nulls":6},"Tim Riley","Maximum Independent Brokerage, LLC","TIMR@MAXIB.COM","(610) 228 - 0460"]
[{"$nulls":6},"Tom Griffin","Insurance Office of America","Tom.Griffin@ioausa.com","(866) 664 - 8294"]
[{"$nulls":6},"Tom McCuckser","TIPS Insurance","tom@pictips.com","(610) 622 - 1954"]
[{"$nulls":6},"Tracey Becerra ","Insurance Office of America","Tracey.Becerra@ioausa.com"]
[{"$nulls":6},"Valerie Barkman","P.A. Post Agency LLC","vbarkman@papost.com","(201) 252-3024"]
[{"$nulls":6},"Valerie Fiorello","Clay Thomas & Associates LLC","vfiorello@claythomasassoc.com","(201) 252 - 8610"]
[{"$nulls":6},"Valerie Fiorello","HILB Group of New Jersey","vfiorello@claythomasassoc.com","(201) 252 - 8610"]
[{"$nulls":6},"Valerie Fiorello ","P.A. Post Agency LLC","vfiorello@papost.com","(201) 252-8610 x7101"]
[{"$nulls":6},"Veronica Barkman","P.A. Post Agency LLC","vbarkman@papost.com","(201) 252 - 3024"]
[{"$nulls":6},"Veronica Barkman ","P.A. Post Agency LLC","vbarkman@papost.com"]
[{"$nulls":6},"Anthony Searcy ","MAXIMUM","ANTHONYS@MAXIB.COM "]
[{"$nulls":6},"Mayra Jimenez","Vaught Insurance Services, Inc.","mayra@vaughtinsurance.com"]
[{"$nulls":6},"Maria Belmarez","Vaught Insurance Services, Inc.","Maria@vaughtinsurance.com"]
[{"$nulls":6},"Mary Vaught","Vaught Insurance Services, Inc.","Mary@vaughtinsurance.com"]
[{"$nulls":6},"Michele Stafford","Vaught Insurance Services, Inc.","michele@vaughtinsurance.com"]
[{"$nulls":6},"Dana Moore","Specialty Unlimited Agency LLC","dana@unlimitedinsurance.org"]
[{"$nulls":6},"Michelle Diamondson","Specialty Unlimited Agency LLC","michelle@unlimitedinsurance.org"]
[{"$nulls":6},"Wael Mohammad","Casurance Agency Insurance Services, LLC","wael@casurance.com"]
[{"$nulls":6},"Donna Lamcaj","P.A. Post Agency LLC","dlamcaj@papost.com"]
[{"$nulls":6},"Gayle Williams","Propel Insurance","Gayle.Williams@propelinsurance.com"]
[{"$nulls":6},"Trisha Baldovinos ","Propel Insurance","Trisha.Baldovinos@propelinsurance.com"]
[{"$nulls":6},"Cleonie Nathanielsz","Propel Insurance","Cleonie.Nathanielsz@propelinsurance.com"]
[{"$nulls":6},"Dan DeGrange","Propel Insurance","Dan.DeGrange@propelinsurance.com"]
[{"$nulls":6},"Andrew Arceri","Crossland Insurance Agency","andrew@crosslandins.com"]
[{"$nulls":6},"Kristen Vice","Crossland Insurance Agency","kristen@crosslandins.com"]
[{"$nulls":6},"Lori Norris","Risk Partners, Inc.","LNorris@riskpartners.com"]
[{"$nulls":6},"David Holcomb","Reisen Agency Inc","david@reisenagency.com"]
[{"$nulls":6},"Michael Cluett","Cluett Commercial Insurance","Mcluett@cluettinsurance.com"]
[{"$nulls":6},"Bruce Cluett","Cluett Commercial Insurance","Bcluett@cluettinsurance.com"]
[{"$nulls":6},"Jenny Boulos","Pauma/Valley Insurance Agency Inc","jenny@pvins.com"]
[{"$nulls":6},"Deanna DeLoen ","Vaught Insurance Services, Inc.","deanna@vaughtinsurance.com"]
[{"$nulls":6},"Maha Alhalabi","Casurance Agency Insurance Services, LLC","maha@casurance.com"]
[{"$nulls":6},"Michael Pegram","Hospitality Insurance Agency LLC","mike@hospitality-ins.com"]