Vehicle Leasing Application Form

Please have the following documents or data at hand to complete this application

Projections in terms of rentals, mileage, number of scooters and receipts/revenues for the next year and four years after that

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Who is your Founder Shield contact (if applicable)
1. Name of Insured*
First
The legal name of the insured
1a. Address of Insured*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
2. What are the territories of the operations - please provide country and state?*
3. How does the leasing arrangement work - do renters pay a per rental, monthly, or annual subscription?*
4. What are the minimum requirements for people leasing the vehicles? (Age, driving record)*
5. What background checks are performed on the individuals renting the vehicles? How are these checks done?*
6. Are there restrictions on the types of vehicles that are leased?*
7. Who is responsible for the maintenance of the vehicles?*
8. Are the vehicles leased to people to use them for TNCs?*
- Yes
- No
8a. Is this the exclusive purpose of the lease?*
9. Do they monitor telematics?*
- Yes
- No
9a. What data do they record and how do they use it to remove poorly performing drivers?*
Revenues, Rentals, Rental Days and Mileage
Question 10 refers to the total (past and projected) revenues, rentals, rental days, and average and total mileage attributed to deliveries via your platform broken out by years. If you have this data readily available in a spreadsheet, please upload the spreadsheet below. Otherwise, fill out the question and click the + sign to add additional rows.
Upload Spreadsheet
Drop files here or

Max. file size: 32 MB.

10. Please can we have details of the revenues, number of rentals, number of rental days, and average and total mileage for the last 5 years and coming 5 years?

Year	Revenues	# of Rentals	# of Rental Days	Average Mileage	Total Mileage

11. Please can we have a mileage split for urban and non-urban*
Urban Non-urban
12. What measures do they take to reduce Distracted Driving?*
13. What protocols do they have in place to monitor the recalls of vehicles?*
14. When did the platform/garage commence leasing operation?*
15. Please can we have a full FGU loss record, uncapped? (if available)
Max. file size: 32 MB.
16. What insurance are they looking for - primary or excess and what limits?*
17. Do they require users to provide their own insurance?*
- Yes
- No
17a. How is this monitored?*
18. What insurance do they have in place currently and who is this with?*
19. Where are vehicles kept at night by the renter – are they in a garage?*
20. Do you buy a separate dealer open lot policy? If there is a request to cover the dealer open lot exposure under this policy then please provide lot locations and TIVs of the vehicles in those lots. Please also confirm if they are garaged or not.*
21. What deductible is the renter required to pay? Will the platform retain an additional deductible on top of this?*
22. How do they know when the vehicle is on and off the rideshare platform if they are leasing to TNCs?*
23. Please provide the number of vehicles and vehicle mileage.*
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Revenues, Rentals, Rental Days and Mileage