Insurance Binder Request for a Leased Vehicle
Last update: 10/18/2024
The customer listed below has leased a vehicle from our dealership and is required to carry full coverage insurance which includes Liability and Comp/Collision with a maximum of $500 deductible.
Minimum Required Limits:
- $100,000 per person
- $100,000 per accident (bodily injury)
- $100,000 of property damage
VEHICLE INFO:
VIN#:
Instructions for Agent:
ALM Leasing & Rentals LLC dba FlexRide requires the following endorsements to be listed on the Lessee’s policy and to be shown on the insurance binder. If this requirement cannot be met on your part, coverage should be immediately denied.
Loss Payee or Lienholder:
FlexRide
13873 Park Center RD Ste 15
Herndon, VA 20171
Additional Insured:
FlexRide
13873 Park Center RD Ste 15
Herndon, VA 20171
Please fax or email the accurate binder to:
- Email: insurance@flexride.io
- FAX: 703-738-7198
This form is not the binder and should not be faxed back.
Both endorsements must be visible on the binder.
Please call with any questions: 1-703-910-3593
10/18/2024 in Insurance Binder Request- Bring Your Own Insurance
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