You can also call us to get a quote by phone or to have any of your questions answered
888-900-9989
Day(s) Hours
Monday - Thursday 7:00 a.m. - 7:00 p.m.
Friday 7:00 a.m. - 5:00 p.m.
  • Covers tools that go to a jobsite
  • Coverage is provided for theft, vandalism and damage
  • Equipment greater in value than $1,000 should be named
  • Rented equipment is covered by Non-Owned Equipment policy
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Business Name  Quote Needed By
   
Owners Name  Years Of Exp.
 
Address (No P.O. Box)
City  State  Zip  County
     
 Phone Number  Fax Number  Cell/Pager Number
   
Active E-mail Address
Preferred Method Of Contact
    Mail:    Fax:    Phone:    E-mail:  
Lic. # or App. Fee # Classification Entity (check one)

Partnership
Sole Owner
Corporation
Description and Area of Operations
Year Make Model Description (short) Serial Number Value
Deductible  
Claims/Losses past 5 years  Yes  No 
Describe losses
Amount Paid  
Current Insurance Company
(not agent) 		 
Expiration Date        Premium  
How did you hear about Skyles Insurance Agency?
    Construction Services    Economy Bonds Mail Flyer
    Post Card Friend Already a Customer
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    Other:  
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