EQUIPMENT FLOATER SECTION DATE PRODUCER …

1 EQUIPMENT FLOATER SECTIONTERRITORY OF OPERATIONTYPE OF OPERATIONCOVERAGE/DEDUCTIBLEEQUIPMENT STORAGEUNSCHEDULED EQUIPMENTADDITIONAL INTEREST/CERTIFICATE RECIPIENTS (Attach separate sheet if necessary)GENERAL INFORMATIONACORD 146 (8/88)cOACORD CORPORATION 1988 EQUIPMENT SCHEDULE ON REVERSE SIDEDATE(MM/DD/YY)PRODUCERAPPLICANTPROPO SED EFF. DATEPROPOSED EXP. DATEBILLING PLANPAYMENT PLANAUDITFOR COMPANY USE ONLYMO. INSTORAGEMAXIMUM VALUEIN BUILDINGOUTSIDETYPE OF $$$$$$DESCRIPTIONMAXIMUM ITEMAMT. OF INSURANCE%COINSNAME & ADDRESSINTERESTCERTIFICATIONREQUIREDNAME & ADDRESSINTERESTCERTIFICATIONREQUIREDNAME & ADDRESSINTERESTCERTIFICATIONREQUIREDNAME & ADDRESSINTERESTCERTIFICATIONREQUIREDEXPL AIN ALL "YES" ALL "YES" ## # RENTED, LOANED TO/FROM OTHERSWITH/WITHOUT OPERATORS?

2 IS APPLICANT OPERATING EQUIPMENT NOT LISTED HERE?PROPERTY USED UNDERGROUND?ANY WORK DONE AFLOAT?AGENCYDIRECTSCHEDULED EQUIPMENTACORD 146 (8/88)ATTACH TO APPLICANT information SECTION % COINSURANCE#MODELYEARDESCRIPTION (TYPE, MANUFACTURER, MODEL, CAPACITY, ETC.)ID#/SERIAL OFINSURANCE$$$$$$$$$$$$$$$$$$$$$$$$$$$$