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Return to main page Web-based Quoting Start Application Here: Business NameUSDOTContact First NameContact Last NamePhoneEmail AddressStreet AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. MartinSt. Pierre & MiquelonSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweOwner's First NameOwner's Last NameDOBDriver on the Policy?YesNoEmail AddressConsent *Like most insurance companies, Bridge City Insurance uses information from you and other sources, such as your driving, claims and credit histories, to calculate an accurate price for your insurance. New or updated information may be used to calculate your renewal premium.Its Privacy Policy explains how Bridge City Insurance discloses and protects your personal information and how you may access and correct it. I can provide a copy at your request Yes, I agree with the privacy policy and terms and conditions.Vehicle InfoCheckboxTruck TractorBox TruckFlatbedDelivery VanPickup TruckTransitTrailerOtherYearMakeModelVehicle VINMileage Radius(skip for adding Trailers)50-100100-200200-300300-500500+Vehicle Financed?YesNoPhysical DamageComprehensive & Collision CoverageYesNoValueDriver InfoFirst NameLast NameDOBLicense NumberStateALAZARCACOCTDEDCFLGAIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYYears Licensed1233+Class LicenseABCCDL Licensed?YesNoClaims HistoryClaim DateCheckboxAt FaultNot At Fault50/50Comprehensive OnlyViolation (Speeding, etc.)Waiver of Subrogation?YesNoCargo Insurance?YesNoIntermodal Coverage?YesNoNon-Owned TrailerYesNoReefer?YesNoExpected Turnaround TimeHow Soon Do You Need The Quote?1-3 Days1 Week2-3 Weeks30 DaysComments or Additional InfoUpload filePlease Upload Any documents, like Declarations Pages, Loss Runs, IFTA Reports, ETCDrag and Drop (or) Choose FilesSubmit PDF E-Application Start Process Here: Step (1) download the PDF and fill out. Step (2) Upload PDF and submit. DOWNLOAD PDF Upload DocumentsUPLOAD E-APPLICATIONPDF, JPG, PNG, All ImagesDrag and Drop (or) Choose FilesConsent *I understand that if there is important information we still require, an Agent from our office will make attempts to connect with your company in order to be able to finalize your quotes. Thank you!Submit Simple Form Start Process Here: Request your quote today! Fill out the form below and we will contact you as soon as possible! Business Name Business email Phone Number DOT Message Send Trucker Hotline Call us NOW (503) 400-7260 we are… Committed to be the best. Downtown Portland, OR—Liberty Center Bridge City Insurance established 2015. Return to main menu Trucking Main Menu Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Like this:Like Loading…