Auto Liability: $1,000,000
General Liability: $1,000,000
Physical Damage / Trailer Interchange Coverage
*Certificates of Insurance must name the equipment owner as Additional Insured.
I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. Furthermore, i hereby authorize the financial institutions listed in this credit application to release necessary information to the company for which credit is being applied for in order to verify the information contained herein.
By signing and submitting this application, you provide consent to authorize REPOWR, equipment owner, and financial institutions to perform necessary credit check for consideration of renting, leasing, buying, or selling equipment.
This application may be executed and delivered by electronic (facsimile, email, .pdf, etc.) transmission shall constitute effective execution and delivery hereof and all purposes and signatures hereto transmitted and / or produced electronically shall be deemed to be their original signature for all purposes.
REPOWR, LLC shall not be held liable for accurate information included in this application.