Hauler Application

In order to be able to haul for E.R. Snell Contractor, Inc., you must obtain the following and provide backup to ERS:

Auto Insurance
$1M Combined Single Limit

Type of Insurance Listed
Any Auto
All Owned Autos
Hired Autos
Scheduled Autos – Please list out these (truck make/ model, year and VIN #)
Non-Owned Auto’s
E.R. Snell needs to be listed as Additional Insured and Subrogation must also be waived.

Worker’s Comp Insurance
Per statute needs to be checked

$100,000.00: Each Accident
$100,000.00: Disease – Each Employee
$500,000.00: Disease – Policy Limit
Subrogation must also be waived here

To apply, please complete the form below.

Company Information
Company Name*
Company Address*
Street Address Address Line 2 City State ZIP Code
Contact Information
Contact Name*
First Last
Contact Phone*
Contact Email Address*
Region*
Are you DBE
- Yes
- No
Truck Information
How many trucks do you own?*
Please enter a number greater than or equal to 1.
What materials will you haul?*
Are you willing to work at night?*
- Yes
- No
ERS Contact, if any

Certificate Holder

E.R. Snell Contractor, Inc.
P.O. Box 306
Snellville, GA 30078