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Insurance


Request a quote

Email Joe Ruck

Information

Bluebook Values

  

P.O. Box 2067 Thousand Oaks, CA.

805-341-5800
Fax 805-557-1556


PRIVACY NOTE: We treat ALL information you submit as strictly confidential. We do NOT give, sell, or distribute your information to any other person or organization except to insurance carriers for the purpose of getting you aircraft insurance quotations.

Please follow the following steps.

  • A. Find your current policy (for reference)
  • B. Fill out this form, referring to your current policy
  • C. You will hear from Joe Ruck within 3 working days
  • D. Joe may need further information, and will let you know what to expect from there.

Please note: We can only write policies for US registered aircraft that are based in the United States.

Your Full Name:   Your E-mail* address:

*Note: Please make sure you enter a name and email address so we can contact 
you with a quote. We will treat your E-mail address as strictly confidential
and will not give or sell it to any other person or organization!

AIG Aviation Insurance Services, Inc., one of the insurance carriers we use, 
is currently offering a discount for AOPA members. You need to be a current 
AOPA member to receive that discount, but do not need to purchase 
your insurance through AOPA Insurance Agency (AOPA-IA) to get the 
discount. Please enter your AOPA number and we will obtain that 
discount with any AIG quote:
AOPA number if a current member:
Aircraft Make and Model? (Show additional planes in "Remarks" below) Cessna Cardinal (Fixed Gear) Cessna Cardinal RG Other (describe):
N-Number: Year: Eng hrs SMOH: Last annual: Total seats:
N
Where is/will Aircraft be based? (name of airport, ID, city, state):

Is/will this aircraft be tied-down or hangared?
    Tied-down
    Hangared
Does this aircraft have any unrepaired damage, special equipment or major modifications to the airframe or engine(s)?
If different from the name above, who will be 
the registered owner of the aircraft insured?:

Street address or P.O. Box:
City, State, Zip:
Phones: Please show your Area Code and number:
Day phone:        Evening phone:    Fax number:    
Uses of aircraft if other than Non-Commercial, Pleasure/Business:



Do you presently carry an insurance policy on the plane
described above?
No, this would be a new acquisition for me
No, I own it now but it is uninsured - Explain in "Remarks" below)
Yes, Carrier:
                Policy Expiration date: MM/DD/YYYY 


Note: Please supply the name of the carrier, (ie USAIG, Global, AIG,
 etc.) rather than the agent (such asFalcon, AOPA, Aero Insurance)

Very important! For best service you must enter the actual policy 
date, since insurance quotations and other dynamics are date driven.
If you enter an invalid or approximate date it is very likely that we 
will not be able to quote your insurance until it comes up for renewal 
again.

Your requested insurance coverages:
Aircraft Physical Damage ("Hull") Coverage
None  
Ground Risks Only Hull Value: $
All Risks Ground/Flight Also quote "Bluebook" value

Liability Coverage - Bodily Injury (incl. passengers) & Property Damage
     Please recommend a liability coverage limit
     Please quote:  Combined Single Limit (CSL)
     Sublimit: 
     No Sublimit ("Smooth")

Medical Coverage - Each person, including crew
     Please recommend a medical coverage limit
     Please quote: each person

Other Coverages (If any)
     Certificate for airport
     Certificate for lender - Amount of lien: $
        Name of lender: 
     Other coverages (describe):
     


Pilot Number 1:
     Pilot 1 Name: 
     Occupation:   
     Date of birth (if known) or age:      
     Date Last FAA Medical Certificate:    
     Date Last Biennial Flight Review:     

     Pilot Number 1 - Certificate/Rating(s) held:
            
           
           Instrument rating
Airplane Single Engine Land Airplane Multi Engine Land Certified Flight Instructor Other cert/ratings: Pilot Number 1 - Total Logged Flight Hours: All aircraft: Retractable gear: Hours in model to be insured: Last 12-months (all aircraft):
Any waivers, limitations (other than corrective lenses), accidents or violations? Any DUIs? Also, describe any special training (i.e. "Wings") you've had recently:
Pilot Number 2: Pilot 2 Name: Occupation: Date of birth (if known) or age: Date Last FAA Medical Certificate: Date Last Biennial Flight Review: Pilot Number 2 - Certificate/Rating(s) held: Instrument rating
Airplane Single Engine Land Airplane Multi Engine Land Certified Flight Instructor Other cert/ratings: Pilot Number 2 - Total Logged Flight Hours: All aircraft: Retractable gear: Hours in model to be insured: Last 12-months (all aircraft):
Any waivers, limitations (other than corrective lenses), accidents or violations? Any DUIs? Also, describe any special training (i.e. "Wings") you've had recently: Has any insurer cancelled or refused to renew any aviation insurance for you or any of the pilots submitted herein? No Yes (Explain fully in the "Remarks" section below.)
Remarks(Additional planes, pilots, training, particular concerns, etc.) Also, any OTHER aircraft currently owned by you? If so, please provide us with the year, make, model, N-number, name of your insurance carrier and policy expiration date.: How did you find us? By clicking the "Submit form" button below, I agree as follows:
  • All information herein is warranted to be true to the best of my knowledge and no information has been suppressed or withheld;
  • This request for a quote does NOT bind any insurance company to provide any insurance.

          




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