ࡱ>   |6bjbj[[ b99Znn8^#>254f5f5f57F9$;9;;;;;;$(2_;77";;_f5f5*TTT; f5f59T;9TTb$ݷf5`H G^AV.0^F H ݷ ݷ;;T;;;;;__T;l;;;^;;;; ;;;;;;;;;n : Named Insured: FORMTEXT      Date Completed:  FORMTEXT       General:Describe any discontinued operations in the last five years: FORMTEXT      Are there any Gasoline or LP tanks above/below ground? FORMCHECKBOX  Yes FORMCHECKBOX  NoIf yes, describe type, size of tank, and any protection or barriers in place (i.e. chain link fence):  FORMTEXT      Do you rent equipment with an operator? FORMCHECKBOX  Yes FORMCHECKBOX  No If yes, describe:  FORMTEXT      Number of years in rental business? FORMTEXT      YearsAre there operations not related to equipment rental, equipment sales, or hardware sales? FORMCHECKBOX  Yes FORMCHECKBOX  NoIf yes, describe operations and include receipts FORMTEXT      Does the insured erect scaffolding? FORMCHECKBOX  Yes FORMCHECKBOX  NoDoes the insured sell firearms or ammunition? FORMCHECKBOX  Yes FORMCHECKBOX  NoDoes the insured sell lumber? FORMCHECKBOX  Yes FORMCHECKBOX  NoDoes the insured sell windows and/or doors: FORMCHECKBOX  Yes FORMCHECKBOX  NoAre there any repackaging of products or private labels sold? FORMCHECKBOX  Yes FORMCHECKBOX  NoDescribe: FORMTEXT      Does the insured rent trucks to the public and/or operate a truck or auto franchise? FORMCHECKBOX  Yes FORMCHECKBOX  No General LiabilitySchedule of Classifications & ReceiptsEst. Annual RevenuesRental:Cranes, Boom Trucks$  FORMTEXT      Contractor s Equipment$  FORMTEXT      Equipment with Operator$  FORMTEXT      Ladders, Scaffolding$  FORMTEXT      Personnel Lifts (Man Lifts)$  FORMTEXT      Homeowners Equipment$  FORMTEXT      Party Goods$  FORMTEXT      Tents$  FORMTEXT      Portable Toilet Rentals  Receipts$  FORMTEXT      Inflatable bounce houses and slides$  FORMTEXT      Total Rental Receipts$  FORMTEXT      Sales:Sales  New Machinery/Equipment$  FORMTEXT      Describe: FORMTEXT      Sales  Used Machinery/Equipment$  FORMTEXT      Describe: FORMTEXT      Sales  Hardware (includes party goods, tools, small power tools, lawn mowers, chainsaws, etc.)$  FORMTEXT      Gasoline  Sales$  FORMTEXT      Propane  Sales$  FORMTEXT      Total Sales$  FORMTEXT      Service:Service/Repair for others  Receipts$  FORMTEXT      Service/Repair for others - Payroll$  FORMTEXT      Septic Tank Pumping  Payroll$  FORMTEXT      Septic Tank Installation  Payroll$  FORMTEXT      Lessor s Risk - Describe:  FORMTEXT      Other operations or services - Describe:  FORMTEXT       Total Revenue:Total Revenue$  FORMTEXT       General Liability  Underwriting (Receipts on ACORD GL must be by location)Do all rental customers sign a rental agreement? FORMCHECKBOX  Yes FORMCHECKBOX  NoHas your rental contract been reviewed by legal counsel in the last 5 years? FORMCHECKBOX  Yes FORMCHECKBOX  NoAre pre-rental inspections and testing completed and documented on the rental agreement? FORMCHECKBOX  Yes FORMCHECKBOX  NoDoes the rental agreement include an indemnification provision and a hold harmless clause? FORMCHECKBOX  Yes FORMCHECKBOX  NoDo you require your commercial customers to provide certificates of insurance naming your company as an additional insured prior to renting any equipment? FORMCHECKBOX  Yes FORMCHECKBOX  NoAre copies of the Rental Agreement and Certificate of Insurance kept for a minimum of 4 years? FORMCHECKBOX  Yes FORMCHECKBOX  NoDo you require the rental customers to sign off that they were provided with the operator manual, any manufacturers recommended safety equipment, and written operation instructions as well as verbal instructions? FORMCHECKBOX  Yes FORMCHECKBOX  NoIf the answer is no to any of the above, would you be willing to implement this into your agreements as soon as possible? FORMCHECKBOX  Yes FORMCHECKBOX  NoIs each rental customers drivers license number, credit card, credit report, or license plate number obtained? FORMCHECKBOX  Yes FORMCHECKBOX  NoIs the rentee advised of responsibility for identifying deficiencies and notifying the insured? FORMCHECKBOX  Yes FORMCHECKBOX  NoAre tie-down straps provided for rental trailers? FORMCHECKBOX  Yes FORMCHECKBOX  NoIs the rentee asked what the trailer will carry? FORMCHECKBOX  Yes FORMCHECKBOX  NoAre any of the following rented:48a) All terrain vehicles, snowmobiles, personal watercraft, or motorcycles? FORMCHECKBOX  Yes FORMCHECKBOX  No48b) Sports equipment? FORMCHECKBOX  Yes FORMCHECKBOX  No48c) Interactive games/amusement rides, mechanical rides, or carnival rides? FORMCHECKBOX  Yes FORMCHECKBOX  No48d) Inflatable bounce houses, slides, dunk tanks, or tents? FORMCHECKBOX  Yes FORMCHECKBOX  No48e) Camper trailers? FORMCHECKBOX  Yes FORMCHECKBOX  No48f) Shoring, boring, tunneling, or other mining equipment? FORMCHECKBOX  Yes FORMCHECKBOX  NoAre items for infants and children, including cribs, high chairs, and booster chairs rented? FORMCHECKBOX  Yes FORMCHECKBOX  NoIf so, please describe and provide the rental receipts FORMTEXT      Are camper trailers rented? FORMCHECKBOX  Yes FORMCHECKBOX  NoAre the following rented?# of ItemsMax HeightRental Receipts52a) Aerial/Scissors Lifts FORMTEXT       FORMTEXT       Ft.$  FORMTEXT      52b) Towable Booms/Cranes FORMTEXT       FORMTEXT       Ft.$  FORMTEXT      52c) Truck Mounted Booms/Cranes FORMTEXT       FORMTEXT       Ft.$  FORMTEXT      52d) Scaffolding FORMTEXT       FORMTEXT       Ft.$  FORMTEXT      Do you provide safety braces, wheel locks, support pins, safety harnesses and safety literature with all cherry pickers, aerial lifts and scaffolding, in accordance with the manufacturer and/or OSHA requirements, for every rental with no exceptions? FORMCHECKBOX  Yes FORMCHECKBOX  NoDo you rent or service aerial lifts? FORMCHECKBOX  Yes FORMCHECKBOX  NoIf yes, do you require the customer to sign that:54a) They have been trained and understand how to operate the equipment in accordance with the manufacturers specifications? FORMCHECKBOX  Yes FORMCHECKBOX  No54b) They understand an OSHA approved safety harness and belt are required at all times when operating the lift? FORMCHECKBOX  Yes FORMCHECKBOX  No54c) The manufacturers recommended safety equipment (including harnesses) is provided or require the customer sign-off that they will provide their own? FORMCHECKBOX  Yes FORMCHECKBOX  No54d) Verification that the operator manual was provided? FORMCHECKBOX  Yes FORMCHECKBOX  NoIf yes, describe:  FORMTEXT      If yes, describe the operations and include the receipts FORMTEXT      Do you employ counter staff under age 21? FORMCHECKBOX  Yes FORMCHECKBOX  No Tent RentalHow many tents are in the insured s inventory?  FORMTEXT      What is the replacement cost & square footage of the two (2) largest tents?$  FORMTEXT       FORMTEXT       Sq. Ft.Does the insured have an emergency preparedness plan in place for tents in the event of severe weather conditions? FORMCHECKBOX  Yes FORMCHECKBOX  NoDo you advise the tent rental customer to contact 811 prior to tent installation, so they can locate and mark their underground facilities? FORMCHECKBOX  Yes FORMCHECKBOX  NoDo you require the insured sign that you are not responsible for any damages while installing tents? FORMCHECKBOX  Yes FORMCHECKBOX  No Portable Sanitation:Does the insured install or excavate septic tanks or leach fields? FORMCHECKBOX  Yes FORMCHECKBOX  NoDoes the insured do any fiberglass repair on portable toilets? FORMCHECKBOX  Yes FORMCHECKBOX  NoIf yes, describe operations: FORMTEXT      Where does the insured dump the sewage?63a) In a city or state approved treatment center? FORMCHECKBOX  Yes FORMCHECKBOX  No63b) In a non-approved treatment center? FORMCHECKBOX  Yes FORMCHECKBOX  NoAre there any special filings the insured needs to have for his operation (State or Federal IIC #s)? FORMCHECKBOX  Yes FORMCHECKBOX  NoIf yes, describe operations: FORMTEXT      Is the insured a member of the Portable Sanitation Association International? FORMCHECKBOX  Yes FORMCHECKBOX  No AutoDo you maintain the approved driver files as required by DOT regulations for all drivers with CDL's? FORMCHECKBOX  Yes FORMCHECKBOX  NoAre MVRs obtained on an annual basis for CDL drivers, per DOT regulations? FORMCHECKBOX  Yes FORMCHECKBOX  NoIs a driver application form completed for each employee that drives a service or delivery vehicle/trailer? FORMCHECKBOX  Yes FORMCHECKBOX  NoAre MVRs checked prior to hiring? FORMCHECKBOX  Yes FORMCHECKBOX  NoIs employment contingent on MVR evaluations, if checked post hire? FORMCHECKBOX  Yes FORMCHECKBOX  NoIf no current written Disciplinary Plan is in place, are you willing to implement one? FORMCHECKBOX  Yes FORMCHECKBOX  NoAre accidents investigated with the results shared with the responsible driver? Is corrective action taken on problem drivers? FORMCHECKBOX  Yes FORMCHECKBOX  NoAre any company owned vehicles used for personal use? FORMCHECKBOX  Yes FORMCHECKBOX  NoIf yes, please provide details:  FORMTEXT      Is there a written policy for personal use of company owned/insured autos/trucks? FORMCHECKBOX  Yes FORMCHECKBOX  NoDo any employees use their own personal vehicles for business uses? FORMCHECKBOX  Yes FORMCHECKBOX  NoIf yes, please describe:  FORMTEXT      Do you require minimum liability limits of $500,000 Combined Single Limit for Personal Auto Policy covering these individuals? FORMCHECKBOX  Yes FORMCHECKBOX  NoAre MVR s obtained on all family members if there is personal use? FORMCHECKBOX  Yes FORMCHECKBOX  NoIs scheduled maintenance and servicing performed at suggested mileage intervals and by qualified mechanics? FORMCHECKBOX  Yes FORMCHECKBOX  NoDo you retain and review vehicle maintenance logs on a regular basis? FORMCHECKBOX  Yes FORMCHECKBOX  NoAre daily, weekly, or monthly inspections of the autos/trucks performed? FORMCHECKBOX  Yes FORMCHECKBOX  NoAre any non-owned autos or trucks held for repair or storage? FORMCHECKBOX  Yes FORMCHECKBOX  NoDo you haul for others? FORMCHECKBOX  Yes FORMCHECKBOX  NoIf yes, please advise the amount of revenue from this service:$  FORMTEXT       Inland Marine  Underwriting and Security MeasuresWhen renting equipment, do you sell or offer to sell a Loss Damage Waiver FORMCHECKBOX  Yes FORMCHECKBOX  NoAre buildings equipped with central station monitored burglar alarms? FORMCHECKBOX  Yes FORMCHECKBOX  NoAre all locations equipped with a chain link fences, motion detectors, and/or security lighting? FORMCHECKBOX  Yes FORMCHECKBOX  NoDescribe: FORMTEXT      Does camera surveillance cover the premises inside of the building? FORMCHECKBOX  Yes FORMCHECKBOX  NoDoes camera surveillance cover the outside lot? FORMCHECKBOX  Yes FORMCHECKBOX  NoDo exterior lights remain on all night and illuminate all areas of the premises? FORMCHECKBOX  Yes FORMCHECKBOX  NoAre all storage areas at this location secured in such a way that equipment cannot be removed from the premises during non-business hours without causing property damage to perimeter fences, posts, chains, barricades, and/or gates? FORMCHECKBOX  Yes FORMCHECKBOX  NoAre wheel locks used to secure equipment in outside lots? FORMCHECKBOX  Yes FORMCHECKBOX  NoIs a Satellite Tracking System utilized on rental equipment valued over $50,000? FORMCHECKBOX  Yes FORMCHECKBOX  NoAre Certificates of Insurance listing you as a Loss Payee obtained from all commercial customers? FORMCHECKBOX  Yes FORMCHECKBOX  NoTotal Value of all rental equipment:$ FORMTEXT      Basis of Valuation: FORMCHECKBOX  Replacement Cost FORMCHECKBOX  ACVAverage age of equipment: FORMTEXT      Deductible: FORMCHECKBOX  $1,000 FORMCHECKBOX  $2,500 FORMCHECKBOX  $5,000 FORMCHECKBOX  Other $  FORMTEXT      List four (4) largest items of rental equipment:DescriptionValue97a) FORMTEXT      $  FORMTEXT      97b) FORMTEXT      $  FORMTEXT      97c) FORMTEXT      $  FORMTEXT      97d) FORMTEXT      $  FORMTEXT      What percent of equipment is stored outside? FORMTEXT       % Equipment MaintenanceIs there a lock-out/tag-out system in place? FORMCHECKBOX  Yes FORMCHECKBOX  NoIs regular maintenance performed on the rental equipment to manufacturers specifications? FORMCHECKBOX  Yes FORMCHECKBOX  NoAre modifications made to rental equipment? FORMCHECKBOX  Yes FORMCHECKBOX  NoIs there a ready to rent system:102a) Visual inspection? FORMCHECKBOX  Yes FORMCHECKBOX  No102b) Visual inspection with records retained on large equipment? FORMCHECKBOX  Yes FORMCHECKBOX  No102c) Visual inspection with records retained on all equipment? FORMCHECKBOX  Yes FORMCHECKBOX  No102d) Visual inspection with records retained on all equipment with equipment tagged? FORMCHECKBOX  Yes FORMCHECKBOX  No102 e) Other: (Describe)  FORMTEXT      Is electrical testing equipment used to check for electrical shortages or leakage? FORMCHECKBOX  Yes FORMCHECKBOX  No Notes:  FORMTEXT       FRAUD AND APPLICANT S STATEMENT FRAUD WARNING STATEMENTS Knowingly presenting false or misleading information in an application for insurance may be a crime and violation of law subjecting the applicant to criminal and civil penalties. Arkansas, Louisiana, Rhode Island and West Virginia applicants: Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison. Alabama applicants: Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or who knowingly presents false information in an application for insurance is guilty of a crime and may be subject to restitution, fines, or confinement in prison, or any combination thereof. Colorado applicants: It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance, and civil damages. 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"""ϿϿϽϿϿϿϿϿϿϰϿϔvϿϿυϿϿhpJhpJOJPJQJaJhpJhpJOJPJQJaJ%hpJhpJB*OJPJQJaJphhpJhpJaJhpJhpJOJQJaJUhpJhpJ;OJQJ^JaJ hpJhpJOJQJ^JaJ %hpJhpJB*OJQJ^JaJphhpJhpJOJQJ^JaJ(ny insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policy holder or claimant for the purpose of defrauding or attempting to defraud the policy holder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado division of insurance within the department of regulatory agencies. District of Columbia applicants: Warning: It is a crime to provide false or misleading information to an insurer for the purpose of defrauding the insurer or any other person. Penalties include imprisonment and/or fines. In addition, an insurer may deny insurance benefits if false information materially related to a claim was provided by the applicant. Florida applicants: Any person who knowingly and with intent to injure, defraud or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree. Hawaii applicants: For your protection, Hawaii law requires you to be informed that presenting a fraudulent claim for payment of a loss or benefit is a crime punishable by fines or imprisonment, or both. Kentucky applicants: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime. Maine applicants: It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines or a denial of insurance benefits. Maryland applicants: Any person who knowingly or willfully presents a false or fraudulent claim for payment of a loss or benefit or who knowingly or willfully presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison. New Jersey applicants: Any person who includes any false or misleading information on an application for an insurance policy is subject to criminal and civil penalties. New Mexico applicants: Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to civil fines and criminal penalties. New York applicants: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, and any person who, in connection with such application or claim, knowingly makes or knowingly assists, abets, solicits or conspires with another to make a false report of the theft, destruction, damage or conversion of any motor vehicle to a law enforcement agency, the department of motor vehicles or an insurance company, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the value of the subject motor vehicle or the stated value of the claim for each such violation. Ohio applicants: Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud. Oklahoma applicants: Warning: Any person who knowingly, and with intent to injure, defraud or deceive any insurer, makes any claim for the proceeds of an insurance policy containing any false, incomplete or misleading information is guilty of a felony. Oregon applicants: Any person who knowingly and with intent to defraud or solicit another to defraud an insurer: (1) by submitting an application or; (2) filing a claim containing a false statement as to any material fact may be violating state law. Pennsylvania Applicants: Any person who knowingly and with intent to injure or defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false, incomplete, or misleading information or conceals for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties, including imprisonment for up to seven years and payment of a fine of up to $15,000. Tennessee applicants: It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines and denial of insurance benefits. Virginia applicants: It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines and denial of insurance benefits. Washington applicants: It is a crime to knowingly provide false, incomplete, or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines, and denial of insurance benefits. Arbitration Statement Applicable to Utah applicants: If the policy will contain an arbitration clause: Any matter in dispute between you and the company may be subject to arbitration as an alternative to court action pursuant to the rules of the (American Arbitration Association or other recognized arbitrator), a copy of which is available on request from the company. Any decision reached by arbitration shall be binding upon both you and the company. The arbitration award may include attorney's fees if allowed by state law and may be entered as a judgment in any court of proper jurisdiction.  SIGNING THIS FORM DOES NOT BIND THE APPLICANT FIRM OR THE COMPANY TO COMPLETE THE INSURANCE. APPLICATION MUST BE SIGNED AND DATED BY AN OWNER, PARTNER OR OFFICER OF THE APPLICANT FIRM. APPLICANT S STATEMENT: I, being duly authorized, have read the above application and declare that to the best of my knowledge and belief all of the foregoing statements are true, and that these statements are offered as an inducement to the Company to issue the policy for which I am applying. (Kansas: This does not constitute a warranty).Authorized Signature:Title: FORMTEXT      Print Name: FORMTEXT      Date: FORMTEXT      Producer s Signature:Title: FORMTEXT      Print Name: FORMTEXT      Date: FORMTEXT      License Identification Number or National Producer Number: (Florida Producers must Provide License Identification Number) FORMTEXT       First State Insurance Company Hartford Accident and Indemnity Company Hartford Casualty Insurance Company Hartford Fire Insurance Company Hartford Insurance Company of Illinois Hartford Insurance Company of the Midwest Hartford Insurance Company of the Southeast Hartford Lloyd's Insurance Company Hartford Underwriters Insurance Company New England Insurance Company New England Reinsurance Corporation Nutmeg Insurance Company Omni Indemnity Company Omni Insurance Company Pacific Insurance Company, Limited Property and Casualty Insurance Company of Hartford Sentinel Insurance Company, Ltd. 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