Equipment Floater/Inland Marine Quote

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Personal Information
First Name Required
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FEIN Required
Type of Business Required
Years in Business Required
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Scheduled Equipment
Identify all Scheduled Equipment (include equipment make/model and coverage limit) Required
Is any equipment leased or rented? Required
If yes, what limit? Optional
Annual Rental Expenditures Optional
Is any equipment rented to others? Required
Loss Payee Optional
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14285 Midway Road, Suite 100, Addison, TX 75001
Phone: 214-301-3333 | Fax: 972-664-1977 | info@brookstone-group.com