INSURANCE
We are a fully licensed, bonded and insured company by the Department of Transportation. We can also offer you optional additional insurance should your special needs so require. Ask your sales representative if you have questions about this.

In most areas of the country we are prepared and available for last-minute moves. We are at your disposal 24 hours a day, seven days a week. We can move you at night, on weekends or even on holidays!

REQUEST LIABILITY INSURANCE

YOU MUST SPEAK WITH YOUR MANAGEMENT COMPANY BEFORE COMPLETING THIS FORM
Certificate processing fee - $75.


When you are speaking with your management company please request these items:

Who should be listed as the "Certificate Holder"?
What address should be listed for the "Certificate Holder"?
Who should be listed as "Additionally Insured"?
Does the building need to see proof of Workers Compensation?

Ww hold the following policies:
$1,000,000 Commercial General Liability
$2,000,000 General Aggregate
$5,000,000 Excess/Umbrella Liability
$300,000 Commercial Automobile Liability

Full Name:
Contact Phone:
Email Address:
Move Date:
Address of Residence Requiring Insurance: (Please Include Apartment/Unit #)
Name of Tenant at this Address:
Certificate Holder:
Address of Certificate Holder: (please include City, State, ZIP)
Phone Number of Management Co.:
Fax Number where Certificate should be sent:
Contact Name at Management Co.:
Who Should Be Listed as "Additionally Insured"? (please note that tenant, address and date of move will automatically be added to the certificate)
Does your building require proof of Workers Compensation?	YES
Additional Comments: