• Freight Broker Insurance

  • Proposed Effective Date
     - -
  • Is the Applicant a Freight Broker?
  • Is the Applicant a Motor Carrier?
  • Are the Applicant's Freight Broker and Motor Carrier authorities separate legal entities?
  • Does the Applicant have a Broker Carrier Agreement (BCA) in place with their own Motor Carrier?
  • Is the Applicant named as an Additional Insured on their Motor Carrier's insurance policies?
  • Is the Applicant a Freight Forwarder?
  • Is the Applicant's Freight Forwarder Authority in a separate legal entity to its Freight Broker and/or Motor Carrier Authorities?

  • Exposure

  • What type(s) of cargo do you arrange transportation for? Select all that apply.
  • Do you ship refrigerated and/or perishable cargoes?
  • Will all Motor Carriers that may ship these commodities have refrigeration equipment with output data to confirm the temperature prior to loading, the temperature during the entire course of transit, and the temperature at time of delivery?

  • High Value Commodities

  • Will the insured be responsible for brokered loads involving the below specified High Value commodities?
  • Which High Value commodities do you broker? Check all that apply.
  • Are any shipments of these cargoes posted on Load Boards?

  • Operations and Procedures

    PLEASE CONFIRM YOU OPERATE AS FOLLOWS AND WITHOUT EXCEPTION
  • You maintain a hard copy or electronic file on each motor carrier to whom you assign loads which includes a copy of the motor carrier authority, a certificate of insurance, and the signed broker carrier agreement?
  • You assign loads only to motor carriers rated Satisfactory or Unrated with the FMCSA?
  • You prohibit a shipper or a carrier from issuing a bill of lading in your name?
  • You reject motor carriers who possess insurance with less than an A- financial rating from A.M. Best?
  • You require a signed Broker Carrier Agreement (BCA) from all motor carriers before they are approved to haul a load?
  • Is the Applicant responsible for any packaging, loading or unloading of any cargoes being transported by a Motor Carrier they have contracted with?
  • Does the Applicant operate a written carrier qualification procedure (e.g. T.I.A. Framework) for vetting carriers?
  • Are all employees responsible for booking shipments trained in, and required to follow these procedures?
  • Are all employees responsible for booking shipments mandated to only use pre-approved Motor Carriers?
  • Does the Applicant opDoes the Applicant use a Carrier Management Vetting System like "HIGHWAY" or RMIS"?
  • Does the Applicant verify that every Motor Carrier they contract with has a valid DOT and MC number, is Active with, and has a BOC-3 filing with the FMCSA?
  • Does the Applicant mandate a minimum number of years in business a Motor Carrier has been operating for before they will consider contracting with them?
  • Does the Applicant contract exclusively with Motor Carriers who have For-Hire Common and/or Contract Carrier Authority?
  • Does the Applicant obtain a copy of the Motor Carrier’s Certificate(s) of Insurance Certificate from the Motor Carrier’s insurance agent directly and not from the Motor Carrier?

  • Broker Carrier Agreement

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  • Does the BCA require the Motor Carrier to haul under their own authority and contain a clause to prevent Double Brokering?
  • Does the BCA require full indemnification from the Motor Carrier for any Loss?
  • Does the BCA reflect Motor Carriers as "Independent Contractors"?
  • Does the BCA contain a clause detailing the requirements for moving refrigerated and/or perishable cargoes?
  • Does the BCA require the Motor Carrier to maintain a "Satisfactory" U.S. DOT safety rating and contain a clause to the effect that "under no circumstances is the Motor Carrier allowed to provide services under this Contract if their Safety Rating falls to 'Unsatisfactory' or 'Conditional'"?
  • Does the BCA require the Motor Carrier to haul under their own authority and contain a clause to prevent Double Brokering?

  • It is a condition precedent to the liability of the Insurers hereon that the Insured ("Applicant") must have in place a signed Broker Carrier Agreement with all parties with whom the Insured contracts Motor Carrier services in a format approved by and on file with the Insurers hereon.

  • Insurance Coverage and Limits

    To ensure that you have adequate protection in place, it would help us greatly if you upload current policies that you’re requesting.
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  • Truck Broker Liability
  • Professional Liability / Errors & Omissions
  • Cyber
  • General Liability
  • Excess Liability
  • Are there Additional Insureds?
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  • Are Waivers of Subrogation required?
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  • Contingent Cargo Liability

  • Contingent Cargo Liability
  • Does the Applicant require every Motor Carrier to carry Broad Form / All Risk Cargo Insurance with limits at least equal to the value of each shipment?
  • Does the Applicant ensure that such Cargo Insurance does not include an exclusion for Unattended or Unlocked vehicles?
  • Does the Applicant arrange shipments of refrigerated and/or perishable cargoes?
  • Does the Applicant confirm that all Motor Carriers have refrigeration units on a regular service contract?
  • Does the Applicant require that all Motor Carriers have Refrigeration Breakdown insurance coverage?
  • Does the Applicant arrange shipments of cargo hauled on flatbed trailers?
  • Does the Applicant require that all Motor Carriers tarp all loads, if required by shipper?
  • Have you purchased Shipper’s Interest insurance?

  • Loss History

  • For all coverages requested, have you had any covered or non-covered losses in the past 5 years?
  • Were all losses covered by the primary insurance?
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  • In the past 5 years, have you ever had insurance cancelled, declined, or the policy renewal refused?

  • SIGNATURE

    I declare to the best of my knowledge that all statements herein are true and no material facts have been suppressed or misstated. I am also aware that my operation may be inspected by the Insurance Company.

    WARRANTY:
    The Applicant hereby applies to the Company for a policy of insurance as set forth in this application on the basis of statements contained here. Applicant agrees that such policy shall be null and void if such information is materially false or misleading so that the Company would have rejected the risk, prior to inception. Applicant understands that an inquiry may be made which will provide applicable information concerning character, general reputation, financial stability, and other pertinent financial data, personal characteristics, mode of living, or other background information the Company deems necessary in order to determine whether the Company will accept or reject applicant for coverage.

    The undersigned authorizes the release of claim information from any prior insurer to the underwriting manager, Company and/or affiliates thereof. Upon written request, additional information as to the nature and scope, if one is made, will be provided. The undersigned authorized officer of the Applicant declares that the statements set forth herein are true.

    The undersigned authorized officer agrees that if the information supplied on this application changes between the date of this application and the effective date of insurance, he/she (undersigned) will, in order for the information to be accurate on the effective date of the insurance, immediately notify the Company of such changes, and the Company may withdraw or modify any outstanding quotations and/or authorizations or agreements to bind the insurance.

    The Applicant understands this application is a request for quotation and no information provided herein shall be construed by either party as creating a binding contract for insurance, but it is agreed that this application shall be the basis of the contract should a policy be issued, and it will be attached to and become part of the policy.

    All written statements and materials furnished to the Company in conjunction with this application are hereby incorporated by reference into this application and made a part hereof.

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