Have you had more than one tool loss in the last three years? YesNo
Please contact an agent to discuss your eligibility!
Are tools left overnight in an unlocked vehicle or non-secure location? YesNo
Is there a burglar alarm installed where the tools are stored? YesNo
Please provide an estimated value of your tool and equipment inventory:
$15,000
$250 / year
Catastrophe Limit up to: $100,000
Maximum Item
Any One Hand Tool: $5,000 Any One Tool Storage System: $15,000 Any One Diagnostic Equipment: $10,000
Deductible: $250
Loss of Income: $5,000
Higher limits are available upon request.
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Recipient of Coverage:
Phone Number:
Email Address:
Occupation:
Address:
City:
State:
ZIP Code:
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I understand that Coverage will not be bound until payment is verified and application is approved.
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