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Request For Insurance

A certificate of insurance will be required for your rental with us.  Please be sure it is on file with us prior to your rental. The certificate must have the following three items correctly and cover the entire rental term duration.   In order to reserve your rental, we require complete insurance information to be received no later than three days prior to pick up/delivery.  We can not be accountable for delays or refusing a rental if the certificate is late.

Certificate Requirements:
Fantasee Lighting, Inc.
14857 Martinsville Road
Belleville, MI 48111

Fantasee Lighting, Inc. must be listed as:
•  Certificate Holder
•  Loss Payee
• Additional insured/Additional Interest

Coverage:
Commercial General Liability Insurance:
The limit of liability shall be $1,000,000.00 combined single limit per occurrence. A general aggregate limit of at least $2,000,000.00 A products/completed operations aggregate of at least $1,000,000.00
Evidence of Property Insurance "All risk replacement coverage"

Coverage includes all listed equipment requested, and shall not be for less than the full replacement value of all equipment rented.

Effective ______________, it is understood and agreed that Fantasee Lighting, Inc. is recognized as "Loss Payee" and that this policy is primary and not in excess of, or contributory to, any other insurance provided for the benefit of, or by Fantasee Lighting, Inc.

Lessee is responsible for payment of the deductible and all associated costs in collecting the replacement value of the equipment.
Signature: ______________________________ Date: ______________________
Printed: ________________________________

14857 Martinsville Road - Belleville, MI  48111 - USA
(734) 699-7200 Phone - (734) 699-7400 Fax
www.fantaseelighting.com

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©Since 2006 Fantasee Lighting, Inc. All rights reserved

Offices - Ypsilanti, MI 48197 - USA
Warehouse - 14857 Martinsville Rd - Belleville, MI 48111 - USA
Tel.: 734-699-7200 - Fax: 734-699-7400
 info@fantaseelighting.com

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