Pro-Tec - Tool & Equipment Insurance Coverage

Application

Have you ever had a Tool loss?
Are tools left overnight in a vehicle that is not parked in a secure area?
Is there a Burglar Alarm at the place where you work?
Please provide a general description of your Tools & Equipment and the place where you normally store them:

Please provide your estimate of replacement cost value:

*Higher limits are available upon request

Catastrophe Limit: $50,000 Maximum Item - Any One Hand Tool: $5,000 Maximum Item - Any One Tool Storage System: $15,000 Maximum Item - Any One Diagnostic Equipment: $10,000 Deductible: $250 Loss of Income: $5,000 Annual Premium: $250
Recipient of Certificate of Coverage

Address

Phone Number	Email Address

Membership Organization

Number of Years Experience