EQUIPMENT

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Is special equipment mounted or attached?

Do you enter construction site?

Is mobile equipment used in any other operation other than your own, specifically for loading and unloading?

Do You Pull

Double trailers?

Triple trailers?

SCHEDULE OF AUTOS TO BE INSURED

All units you own or that are leased to you must be scheduled and insured if filings are to be made

LIENHOLDER / ADDITIONAL INSURED INFORMATION