Entertainment – Rented & Owned EquipmentEmet Digital2019-01-02T12:41:32-08:00 Get started by filling out this form and someone from our team will contact you shortly! Entertainment - Rented & Owned Equipment Customer InformationWhat is the name that the insurance will be under?* If you do not have a company, the name on the policy needs to match the name you are using to execute any contracts or agreements in conjunction with your business operations.What type of entity is this insurance going to be for?*Choose OneCorporationIndividual or DBAL.L.C.Non-ProfitPartnershipAddress (No PO Boxes)* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Person* First Last Phone*Email* Enter Email Confirm Email Please confirm your understanding of the fact that Owned Equipment coverage would cover equipment that is OWNED by the person/entity who is applying for coverage. Rented Equipment coverage would cover equipment that the person/entity applying for coverage is either RENTING or BORROWING from rental houses or individuals. Borrowed equipment refers to equipment that is owned by individuals who the applicant may hire for services (such as directors of photography, cinematographers or other production personnel who may lend their own equipment for use on a production).* Confirmed How many years of industry experience do you have?*Please enter a number from 0 to 99.Has the individual/entity applying for coverage ever had rented or owned equipment coverage before?* Yes No Have you had any claims on such coverage within the last 5 years?* Yes No Please provide the Date of Loss, Loss Value and a Description of what happened in reference to prior claims you've had.*Please upload loss runs for the rented/owned equipment coverage you've had previously, if you have them. Drop files here or Select files Accepted file types: pdf, doc, dox, gif, jpg, Max. file size: 50 MB, Max. files: 10. You can obtain loss runs from the agent, broker or carrier that provided you with coverage in the past.How did you hear about Frankel & Associates?* Web search Friend ReKon Productions Which coverage options do you need? Owned Equipment Rented Equipment Owned & Rented Equipment Will you ever leave any equipment in a vehicle unattended?* Yes No Under what circumstances will you be leaving equipment in vehicles unattended?* Only if it's an emergency or rare situation when I cannot store it anywhere else For short periods of time (less than 30 minutes) including for food and bathroom breaks For hours at a time, but not overnight For hours at a time, including overnight For days at a time, including overnight All the time, including storing it in my vehicle Please note that the way you respond to this question could affect the deductible that is offered to you for coverage, the cost of coverage, or whether terms for coverage can be offered at all.What is the maximum value of equipment you own that could be left UNATTENDED in a vehicle?*What is the maximum value of equipment you're renting that could be left UNATTENDED in a vehicle?*What kind of vehicle will you leave your equipment in (please describe in detail):* If there are multiple vehicles you could leave the equipment in, please say as such.Does the vehicle have an alarm system?* Yes No Does the alarm signal go to a monitored, remote device or security system?* Yes No Please explain what type of monitored, remote device or security system the alarm signal goes to:* Where will the vehicle be parked when left unattended? (mark all that apply)* City Street Residential Streeet Residential Garage (Private Home) Residential Shared Garage (i.e. an apartment complex) Parking Garage Please mark all circumstances that apply to the Shared or Parking Garage the vehicle will be parked in:* 24-Hour Security Guard and Surveillance Cameras Part-Time Security Guard Surveillance Cameras Restricted Access (Key Card or Gate Code) Fenced Gated Well-Lit No Cameras No Guard Other Please explain your "other" choice:* Will the equipment have a GPS tracking device?* Yes No Is the tracking device signal sent to a monitored, remote device or security system?* Yes No Please explain what type of monitored, remote device or security system the tracking device signal goes to:* What other security measures, if any, will be taken to protect the equipment while left in a vehicle?*OWNED EQUIPMENT INFORMATIONPlease fill out this section of the application if you would like to be quoted for a policy that would cover equipment you own. If you are needing coverage for equipment that you are renting or borrowing from other people/entities, please fill out the rented equipment portion of the application.What type of Equipment are you looking for this policy to cover?* Film Production Equipment Musical Instruments/Band Gear Health & Fitness Equipment What is the overall value of the equipment you own?*If you had to replace every single piece of equipment you own, how much would it cost you to do so?What is the deductible you'd like the policy to have?* $250 $500 $1000 $2500 The deductible is the amount of money you would be expected to pay out of pocket, should a claim be made on the policy. Please note that we will do our best to accommodate your requested deductible; however, there are some instances where it might not be possible. If the deductible is important to you, please be sure to look for it on your quote.Are you principally involved in the production of pornographic content?* Yes No Please provide a brief description of how you use the equipment*If you use the equipment professionally, please provide a description of your business operations. Is any of your equipment used over or underwater?* Yes No This includes activities on boats, piers, in pools or any other type of situation where water has a much higher chance of damaging the equipment.What is the replacement cost for the equipment you use for over/underwater activities?*Equipment used for over and underwater activities is covered at a higher rate. Coverage is only provided if appropriate safety measures are taken to protect the equipment.Please provide a description of the equipment you employ to keep the equipment you use over/underwater safe from water exposure/damage:*If you cannot provide these details, we will not be able to offer coverage for equipment you use over/underwater. Employing the use of food-grade Ziploc bags, condoms or other such rudimentary protections does not qualify as acceptable under coverage standards. Do you own any drones or other flying equipment?* Yes No Please note: not all carriers can provide coverage for drones. We will notify you if drone coverage cannot be accommodated.Do you rent out your equipment to third parties?* Yes No What percentage of your business income is generated by renting out your equipment to third parties?*Please enter a number from 1 to 100.What is the estimated annual gross income generated by renting out your equipment?*Please provide an estimate of the amount of money you usually/intend to make annually renting out your equipment to others. If you rent out your equipment to others, would you like us to provide a quote that would include Rented to Others coverage?* Yes No This would provide coverage in the event that your equipment is damaged after you've loaned/rented out your equipment to a third party. It would not provide coverage if the person that you loaned/rented the equipment to never returned the equipment. If you want that type of coverage, you would need to request Voluntary Parting/False Pretense coverage. In order to be quoted for that coverage, you would have to request Rented to Others coverage as well.Please provide the amount of Rented to Others coverage you would like to be quoted for.*It would be best to request the maximum replacement value you rent out to others at any one time.Would you like us to include Voluntary Parting and False Pretnese coverage?* Yes No Voluntary Parting and False Pretense would provide coverage in the event that a person/entity you rent your equipment to, does not return it. This coverage requires that Rented to Others coverage be included in the quote.Voluntary Parting & False Pretense coverage requires that you have a written contract in place with the borrower/renter/lessee that stipulates they will assume full responsibility for the risk of any loss or damage to the equipment they're borrowing/renting/leasing from any cause whatsoever. Please confirm that you will have such a contract in place with anyone who borrows/rents/leases your equipment.* Confirmed If you're unable to confirm this, we cannot offer voluntary parting and false pretense coverage. Any claims made on this coverage will require that you present a signed contract with the borrower/renter/lessee in order for the coverage to apply.Please provide the amount of Voluntary Parting and False Pretense coverage you would like to be quoted for.*It would be best to request the maximum replacement value you rent out to others at any one time.Please provide the address at which your equipment is stored* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCĂ´te d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRĂ©unionSaint BarthĂ©lemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTĂĽrkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweĂ…land Islands Country What kind of protection/security measures do you have in place at the equipment storage site (please check all that apply):* None Alarm Dead Bolts Bars on Windows Security Guards Dog on Premises What is the name of the company that provides the alarm services?* Is any of your equipment leased or financed? No Yes Do you travel out of the country 5 or more times per year?* yes No Will you need worldwide coverage?* Yes No Please confirm your understanding of the fact that Worldwide Coverage is limited to countries that the United States does not currently have sanctions against; and that it could be possible that only $25,000 worth of coverage will be provided for equipment brought to Mexico (depending on the provider we quote you with).* Confirmed Confirmed; but I will need more coverage for equipment brought to Mexico. What is the maximum replacement value of equipment brought to Mexico?*How often will you be going to Mexico?* How long do you estimate each trip will be in Mexico?* What city/cities do you normally visit in Mexico?* How will the equipment be transported to Mexico?* Are any items that you own worth $5,001.00 or more? Yes No Items over 5K in value must be scheduled on the policy. You can upload an equipment schedule or list them below. Please list the make, model, serial number and replacement cost for items over 5K.Make: Model: Serial Number: Replacement Cost: Some carriers would require you to provide a comprehensive schedule of your equipment in order to offer coverage. The schedule would need to include the make, model, serial number (if applicable) and replacement value of each item you want the policy to cover. This coverage is usually slightly more affordable. Would you be able to provide a comprehensive schedule of your equipment, if it meant that you might be able to save money on the cost of coverage?* Yes, I could provide a comprehensive schedule of my equipment, if it meant I could save money. No, I would not want to have to provide a comprehensive schedule of my equipment. You may upload a list of equipment if you have it.Accepted file types: jpg, gif, png, pdf, xls, xlsx, doc, docx, Max. file size: 50 MB.What date do you need this policy to start?* MM slash DD slash YYYY Please confirm that all the information you've provided on this application is accurate.* Confirmed RENTED EQUIPMENT INFORMATIONPlease fill out this portion of the application if you are looking to rent equipment from others. Rented equipment coverage would cover rented AND borrowed equipment. Are you looking for annual or short-term coverage? Annual Short Term If you are also requesting a quote for owned equipment coverage, we would recommend that you select "annual", especially if you think you will be renting equipment multiple times during the upcoming year.Will your rental vendor require you to have General Liability?* Yes Yes, but I already have General Liability coverage No Not Sure You will need to fill out a different application. Please copy and paste the following Web address into your browser so you can fill out the proper form: https://frankelins.wpengine.com/forms/entertainment-single-production/* Understood. I will fill out that form. You will need to fill out a different application. Please copy and paste the following Web address into your browser so you can fill out the proper form: https://frankelins.wpengine.com/forms/entertainment-dice-annual-production-application/* Understood. I will fill out that form. We would highly recommend that you check with the companies you'll be renting from to confirm whether they would require you to have General Liability in addition to rented equipment coverage. Most rental vendors do require it.* Understood. Please provide a quote for just rented equipment coverage in the meantime. What kind of equipment do you plan to rent?* PLEASE NOTE: Rented equipment coverage does not provide coverage for VEHICLES.What is the replacement value of the equipment you plan to rent*Please enter a number less than or equal to 1000000.This is NOT the cost of the rental. It is the amount of money that the rental vendor would expect you to pay them if all the equipment you're renting disappeared. PLEASE ALSO NOTE: Rented Equipment coverage does NOT provide coverage for vehicles. Please do not include vehicle values with this figure.What is the deductible you'd like the policy to have?* $250 $500 $1000 $2500 The deductible is the amount of money you would be expected to pay out of pocket, should a claim be made on the policy. Please note that we will do our best to accommodate your requested deductible; however, there are some instances where it might not be possible. If the deductible is important to you, please be sure to look for it on your quote.Will you be taking the equipment out of the United States?* No Yes Will you be taking the equipment to Mexico?* Yes No Please confirm that there is no one item that you will be renting that has a value of $150,000 or more.* Confirmed Yes, there is a single piece of equipment that has a value of $150,000 or more. Please note: rented equipment coverage does NOT provide coverage for vehicles. Please do not include value of vehicles when responding here.Please advise the make, model, serial number and replacement value of the item or items that are worth more than $150,000.*You can provide this information later; however, it will be required if you decide to bind coverage, and could impact the cost of the policy.What date would you like the policy to start?* MM slash DD slash YYYY What is the pick up date for the equipment?* MM slash DD slash YYYY What is the drop off date for the equipment?* MM slash DD slash YYYY Who will be responsible for transporting the equipment:* The applicant/production The rental vendor The owner of the equipment Will the equipment be transported in protective cases?* Yes No Will you be storing the equipment overnight?* Yes No If you will be storing the equipment overnight, please provide details as to how and where the equipment will be stored so that it is kept safe from damage and theft.*Please note: the underwriter will only allow equipment to be stored in vehicles overnight if the vehicles are stored in approved, monitored facilities; or if they are parked in a private, residential garage that is only accessible to the insured and production personnel. The underwriter will not allow for equipment to be stored overnight in vans, trucks, buses or vehicles parked in areas that are at all accessible to members of the general public.Will the equipment remain in your possession until it is returned to the rental vendor?* Yes No Please explain why the equipment will not remain in your possession until it is returned to the rental vendor:* Please confirm that all the information you've provided on this application is accurate.* Confirmed NameThis field is for validation purposes and should be left unchanged.
