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Forestry Equipment Insurance
Company Name:
Address:
City:
Province:
Postal Code:
Contact Person:
Email Address :
Phone Number:
Present Insurer:
Expiry Date:
/
/
yyyy
mm
dd
How long have you been in business:
Loss/Claim history in last 5 years:
Equipment Schedule:
Year:
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
Make:
Type:
Automatic CO2?
Yes
No
Limit of Insurance:
Commercial General Liability - Limit required
$1,000,000
$2,000,000
Forest Fire Fighting Expenses - Limit required
$250,000
$500,000
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Limitation of Liability
