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InSource Insurance Group
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    • Employee Benefits
      • Group Medical
      • Dental Insurance
      • Vision Insurance
      • Life Insurance
      • Long-Term Disability
      • Short-Term Disability
      • Executive – Key Man
    • Property and Casualty Insurance
      • Boiler and Machinery
      • Builder’s Risk
      • Commercial Insurance
      • Business Owners’ Policy
      • Workers’ Compensation
      • Energy Insurance
      • Personal Insurance
    • Insurance for the Oil and Gas Industry
      • Control of Well
      • Oil and Gas Lease Property (OLP)
      • Rig and Hull Insurance
      • Riggers Insurance
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      • Oil and Gas Bonds
      • Bid Bonds
      • Other Surety Bonds
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  • Locations
    • Odessa, Texas
    • Midland, Texas
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Name of owners, title, ownership percentage, and if you are included into workers comp, please include your salaries.
MM slash DD slash YYYY
(or SS # for Sole Proprietors)
(attach additional pages if needed).
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 50 MB.
(attach additional pages if needed).
Accepted file types: pdf, doc, docx, Max. file size: 50 MB.
Please include copies of your safety program, employee manuals, and any brochures that you have. (InSource can help you develop these practices and procedures if requested)
Are you currently insured?(Required)
Drop files here or
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 50 MB, Max. files: 5.
    Attach prior certificates of insurance, upload as many as 5 documents.
    Preferred Form of Contact(Required)
    What kind(s) of quote(s) can we help you with? (Select all that apply)(Required)
    Please enter a number from 0 to 99999.
    Please enter a number from 0 to 99999.
    Please list each state, separated by a comma. give example in text – Example: Texas, New Mexico
    (Example: Texas Clerical = $50,000 annual payroll / Texas Roustabout = $50,000 annual payroll / New Mexico Trucking = $100,000 annual payroll.)
    How many vehicles do you have to insure ?
    Current Vehicle list(Required)
    Year
    Make
    Model
    VIN #
    Cost ( new )
     
    Click Here to Download the Vehicles Template
    Accepted file types: pdf, xls, xlsx, doc, docx, csv, Max. file size: 50 MB.
    Excel file preferred.
    How many Drivers do you have ?
    Current drivers list(Required)
    Name ( as it appears on license )
    Date of Birth
    State
    Driver’s License Number
    Type of License
     
    Click Here to Download the Drivers Template
    Accepted file types: pdf, xls, xlsx, doc, docx, csv, Max. file size: 50 MB.
    Excel file preferred.
    How many buildings to do you occupy ?
    Do you need insurance coverage on any of your buildings or property inside?
    Please fill the info for each building(Required)
    Age Year Built
    Square footage
    Number of stories
    Type (Brick, metal, wood frame, etc.)
     
    Click Here to Download the Property & Land Locations Template
    Contruction Type(Required)
    Accepted file types: jpg, png, pdf, xls, xlsx, doc, docx, csv, Max. file size: 50 MB.
    Excel file preferred.
    How many pieces of mobile equipment would you like insured?
    Please fill mobile Equipment details(Required)
    Year
    Make
    Model
    Serial number
    Value
     
    Click Here to Download the Mobile Equipment Template
    Accepted file types: jpg, png, pdf, xls, xlsx, doc, docx, csv, Max. file size: 50 MB.
    Excel file preferred.
    What commodities or material are you hauling ?(Required)
    list the top 5
     
    How many wells would you be operating?(Required)
    Please fill the details of Wells(Required)
    Well Type
    Depth
    Orientation
    Value
     
    Accepted file types: jpg, png, pdf, xls, xlsx, doc, docx, csv, Max. file size: 50 MB.
    Excel file preferred.
    Click Here to Download the Well Schedule Template
    What type of bond are you needing?
    Are you needing a P-5 Bond for the Texas Railroad Commission (a blanket performance bond)?(Required)
    Do you carry Property and Casualty Insurance on your wells / company?(Required)
    Are you just starting up and needing a bond in order get your business going?(Required)
    Click Here to Download the BOND Authorization to obtain Credit Report Form Click Here to Download the Bond Supplemental Information Fill-able Form Click Here to Download the Bond Personal Financial Statement
    Drop files here or
    Accepted file types: jpg, png, pdf, doc, docx, xlsx, Max. file size: 50 MB.
      Disclaimer: We normally prefer to write bonds in conjunction with property and casualty insurance of our customers. For those that we help with oil and gas bonds only, we require a $1,000 fee in addition to the cost of the bond. Other fees may apply for non-oil and gas related bonds.(Required)
      What type of Personal Insurance Coverage are you Needing? Select all that apply.
      What Personal Umbrella Limit would you like to carry?(Required)

      Recent Blogs

      • Do You Need Pollution Insurance?
      • What Does Commercial Auto Insurance Cover?
      • How To Protect Your Money From Inflation

      Get In Touch

      Phone:
      (432) 362-8800 – Odessa, TX
      (432) 682-2333 – Midland, TX

      (432) 271-5550 – Big Spring, TX
      (682) 498-8370 – Granbury, TX
      (806) 702-4999 – Lubbock, TX
      (918) 984-1110 – Tulsa, OK

      Office Addresses:
      5108 Wayland Dr.
      Odessa, TX 79762

      901 W. Wall St. Suite 200
      Midland, TX 79701

      Services

      Types Of Insurance

      Employee Benefits

      Property & Casualty Insurance

      Insurance for Oil & Gas Industry

      Surety Bonds

      Risk Control Services

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