Inland Marine Insurance Inquiry
Property away from your premises.......
Contractors Tools & Equipment
Theatrical Property
Musical Instruments/Band Equipment
Heavy Construction Equipment
Surgical Equipment
Jeweler's Inventory
Your Information...
Company Name:
Contact:
Address:
City:
State:
Zipcode:
Phone:
Fax:
E-Mail:
Generic Categories.....
Category Description
Insured Value
Miscellaneous Tools: No item over $ 500
Cargo
Installation Materials
Surgical Tools
Optional Coverages
Borrowed Contractors Equipment Coverage
Employee Tools Coverage
Rental Reimbursement Coverage
Non-Owned/Rental Equipment Coverage
Spare Parts & Fuel Coverage
Pollution & Cleanup Coverage
Scheduled Property to be insured.....
Item #
Item Description / Model
Serial #
Insured Value
Replacement Cost or Depreciated Value
1
Depreciated Value
Replacement Cost
2
Depreciated Value
Replacement Cost
3
Depreciated Value
Replacement Cost
4
Depreciated Value
Replacement Cost
5
Depreciated Value
Replacement Cost
6
Depreciated Value
Replacement Cost
7
Depreciated Value
Replacement Cost
8
Depreciated Value
Replacement Cost
9
Depreciated Value
Replacement Cost
10
Depreciated Value
Replacement Cost
11
Depreciated Value
Replacement Cost
12
Depreciated Value
Replacement Cost
13
Depreciated Value
Replacement Cost
14
Depreciated Value
Replacement Cost
15
Depreciated Value
Replacement Cost
16
Depreciated Value
Replacement Cost
17
Depreciated Value
Replacement Cost
18
Depreciated Value
Replacement Cost
19
Depreciated Value
Replacement Cost
20
Depreciated Value
Replacement Cost
M c G R A T H I N S U R A N C E G R O U P
4170 William Penn Highway, Murrysville, PA. 15668-1890
(724) 327-8474 (FAX) 327-7911
Toll Free: 1-800-977-2999 (FAX) 1-888-800-0034