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Home Obama care Sign In Contact Us info@g1g.net 408-286-1111 ext 106 408-997-7890 CA Lic# 0697055   Sign In   User Name11     Password   New User Forgot password? News CEO Zain Jeewanjee Interview on WomenNow TV   Entertainment Equipment Floater Please answer all questions to prevent a delay in processing your quote request. If you have any questions call us at 800.257.7718 for help or fax at 408.997.7890 Contact Information Company Name: Business Entity: -----Entity Type----- Corporation Individual Joint Venture LLC (Limited Liability Company) LLP (Limited Liability Partnership) Non-Profit Partnership Trust Other Proprietorship Communities Company Address:       (street)         (City) ---Select a state--- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming (zip)       Contact Person: Telephone: Fax: Cell Phone: Email Address: Qualification Questions Any equipment losses in the past 5 years? Yes No Principally invloved in pornography production? Yes No Any Coverage cancelled or denied in past 3 years? Yes No Do you currently have an equipment floater policy through Fireman's Fund McGee MArine Underwriters? Yes No Are you primarily in the business of rentig equipment to others? Yes No Additional Information Years of Industry Experience: Description of Business Operations: Address of primary location (if different to mailing address above):       (street)         (City) ---Select a state--- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming (zip)       If schedule equipment is over $100,000, advise name of central station alarm company at primary location: Prior Coverage Carrier Name: Policy Number: Expiration Date:   Coverage Options Coverage Start Date:   Coverage End Date:   Category Limit to Insure Scheduled Equipment Editing/Post Production Equipment : Recording/Studio Equipment : Sound/Location Recording Equipment : Musical Instruments/Band Equipment : Camera/Production Equipment : P.A./Sound Reinforcement Equipment : Office Contents: Theatrical Equipment : Unscheduled Equipment Rented Equipment: Unscheduled Equipment ($10,000 maximum): Rental Reimbursement (Daily Limit): $500 $1,000 $1,500 $2,000 $2,500

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