Submit Your Business What is your BPT Agency Code? How many power units are you quoting? What is the Policy Effective Date? In order to access this contact form, you must have a current appointment with Berkley Prime Transportation. Thank you for your interest in Berkley Prime Transportation, this business does not meet our program guidelines because it is less than ten power units. Thank you. The effective date does not meet our submission guidelines at this time. Please be sure to submit business with an effective date that is within 15-90 calendar days from the current date. Thank you for your interest in Berkley Prime Transportation. Have a great day! Is this a multi or single state policy? -- Choose Single State or Multi State --Single StateMulti State Select state where the Insured is located. -- Select State --AlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyomingDistrict of Columbia Hold Ctrl key to select all states where the Insured is located. -- Choose all states where the Insured is located --AlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyomingDistrict of Columbia We are still working through obtaining state approvals for all 50 U.S. States. It looks like you selected a state(s) that is still pending. Please check the Coverage Area map for the latest updates on state approval. Thank you for your interest in Berkley Prime Transportation. Have a great day! Agent Name Agent Email Agency Name Agent Phone Number DOT # * Check DOT Insured Name Address City State -- Choose State --AlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyomingDistrict of Columbia Zip Headquarter State -- Choose State --AlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyomingDistrict of Columbia Business Class -- Choose Business Class --All OtherLogger, Coal, HazmatFuel HaulerWater Hauler Years in Business -- Choose Years in Business --Less than 1 year1 year2 yearsMore than 2 years BPT Policy Type *New BusinessRenewal Current Carrier (optional) Target Price Notes: (Provide a short, 2-3 sentences long, narrative about the risk) Need By Date Upload related and required documentation. * Only pdf, xlsx, xls, docx, doc, and csv files are accepted.The combined file size limit is 15 MB, and maximum number of files is 20. Submission Requirements Required for Clearance: Submissions received within 15 to 90 calendar days prior to the effective date. ACORD forms or competitor applications Vehicle list* – year, make, model, VIN, and stated amount. Driver list* – name, DOB, state licensed, DLN, and date of hire IFTAs – 4 full quarters including most recent Loss Runs – current year + 4 full years (valued within 120 days) * Excel format preferred For all submissions with 10-24 power units, a completed Exposure Template is required for rating. Please navigate to the Agent Reference Documents & Templates to download a copy Agent Reference Documents and Templates Submit button will appear once all required fields are populated.
