I would like to enroll in the Pro-Tec Auto Service Technician Program because of the many benefits the Miscellaneous Tool & Equipment program has to offer. By sending this application you agree to accept the coverage and the pricing outlined.

Option 1

Catastrophe Limit: $50,000
Maximum Item - Any One Hand Tool: $1,500
Maximum Item - Any One Tool Storage System: $15,000
Maximum Item - Any One Diagnostic Equipment: $5,000
Deductible: $500
Loss of Income: $5,000
Annual Premium: $500 (Special $250 introductory offer until 1/1/11)

Option 2

Catastrophe Limit: $25,000
Maximum Item - Any One Hand Tool: $1,000
Maximum Item - Any One Tool Storage System: $7,500
Maximum Item - Any One Diagnostic Equipment: $2,500
Deductible: $500
Loss of Income: $2,500
Annual Premium: $300

CPM Insurance Services, Inc. • 90 Hinman Street • Cheshire, CT 06410 • Phone: 203.272.3521 • Toll Free: 800.344.3501 Facsimile: 203.271.3187 • General E-mail: info@cpminsurance.com
Jim Bradanini
A certificate of coverage will be issued directly to you with an effective date for the annual term starting from the date our office receives the completed application.