Thank you for considering Cossio Insurance Agency for your paintball insurance needs. We at CIA strive to give our customers personal service in addition to the best coverage at the best available rates. In order to begin the quote process we need you to complete the following ONLINE application.
You do not need to print it out, its as easy as 1-2-3!
Just type on each line and answer the questions.
On the very last page, on the bottom there will be a button that says SUBMIT. Just click on that button when you are done and it will save the pdf. Just send us an email and attach the pdf file you just saved.
You will need to have Adobe Acrobat Reader 7.0 or later installed on your machine. If you do not have Adobe Acrobat Reader or have an older version, you can download a new version here for free!
We will need you to send us via email or fax these additional documents: |
| 1. |
A copy of your currently valued loss runs for the last 3 years (this is a report from your current carrier for the last 3 years track record that will state if you have had any claims or not, similar to your credit history). You will need to request this from your current agent now as it sometimes takes them a while to respond! |
| 2. |
You may submit on your letterhead, a statement stating: (field name) has had no claims in the last 3 years and we are waiting for our loss runs from our current carrier to start the process. |
| 3. |
A copy of your current waiver |
| 4. |
A drawing or map of your field layout showing entrance, field location, any pro shops, streets, etc. |
It will take us approximately 1-2 days for a formal quote if we have all the information requested. If you have any questions or want a quickie quote please give us a call at the number listed on the right or send us an email from the contact page.
Sincerely,
Larry & Marcela Cossio |