Shawn Logan Insurance
610 E. Main Street
Othello, WA 99344
Phone: 800-393-7616
Fax: 509-488-0558
E-mail: slogan@sloganins.com
Commercial Equipment Insurance Quote
Commercial equipment coverage is insurance for things that are not covered by business property insurance. Equipment includes both items like forklifts that are used on your premises, and things that you may take to another location, such as tools and machinery. Please note that this is is not liability coverage, but covers your equipment if it's stolen or damaged by someone else.
Business Name:
Mailing Address:
Business Telephone
Fax:
Contact Name:
Contact Cell:
Contact E-mail Address:
Equipment Schedule:
Please list all pieces of equipment valued over $2500 each, that you would like to cover. If you have more than 5 pieces of equipment, you may submit additional forms.
Item #
Year
Type
Manufacturer
Model
Capacity
ID#/Serial #
Purchase Date
New/Used
Value
1
New Used
2
3
4
5
Unscheduled Equipment:
How much coverage do you want for your unscheduled business equipment?
(Please note that this coverage is for items valued under $2500 each.) Deductible?
Additional Information:
Do you rent or loan equipment TO others with or without operators? Yes No
Do you rent or loan equipment FROM others with or without operators? Yes No
If yes above, do you want to insure equipment you rent from others? Yes No Maximum Value:
Do you ever use any of your equipment underground? Yes No
Do you ever use any of your equipment on the water (afloat)? Yes No
Are there any loans on any of the equipment you use? Yes No
If yes, please list all of them here (if there are more than three, you may submit this form again):
Item Description Name & Address Loan Amount Insurance Required? Loan Account Number Yes No Yes No Yes No
Item Description
Name & Address
Loan Amount
Insurance Required?
Loan Account Number
After pushing the submit button you should see a confirmation screen showing the information you have sent to us. Please check it over and e-mail us with any corrections.
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