LKF/garage | Master Mechanic's Tool Protector Program Application

Master Mechanic's Tool Protector Program Application

It will be our privilege to provide you with a free, no-obligation insurance quote. Please provide as much information possible for the most accurate quote. This information will be kept confidential and will be used for quote purposes only.

Application for Facility Coverage

Facility Location and Contact Information
Facility Name:
Address:
City:	State: Zip:
Phone:	Fax:
Email:	Website:

Facility Coverage Details
Number of Mechanics Requiring Coverage:	($10,000 coverage per mechanic)
Important: If you have more than one mechanic, please complete Mechanic's Roster Addendum for each individual after submitting this form.

Total value of items greater then $1,500:	$

Total value of FACILITY owned permanently installed items as follows:
Dynamometer:	Lifts:
Permanently Installed Compressors:
Current Insurance Carrier Name:
Policy Expiration Date:
If you are affiliated with or are a franchise (Shell, Amoco, Midas, etc.), provide the name of the franchise:

Do you own your building?
Do you have a working Central Station Alarm?
Is your shop the sole occupant in your building?
Type of building construction
Have you had property losses in the past 5 years?
Have you ever declared bankruptcy?