Form C-Ef - Application For Certificate Of Public Convenience And Necessity For Operation Of Motor Vehicle Carrier Page 6
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7INSURANCE QUOTE
The following insurance quote is for:
(Name of Motor Carrier)
(Address of Motor Carrier)
Amount of Premium:
Liability Insurance
Cargo Insurance
The above quoted premiums are for a term of
months.
(Insurance Company Name)
(Home Office Address of Company)
is familiar with the Commission’s Rules and Regulations relating to insurance requirements and
the above quote meets the minimum insurance limits prescribed. The insurance company
making this quote is authorized by the South Carolina Department of Insurance to do business in
South Carolina.
Date
(Authorized Insurance Company Representative)
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