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Phvsical Damage Insurance Coverage Information <br />(Customer CODv) <br />Before financing your equipment, you must arrange physical damage insurance on the equipment identified below. The <br />insurance may be provided through an insurance agent or insurance company of your choice, provided the insurance <br />company satisfies minimum financial requirements. <br />As an alternative to obtaining your own insurance, you may elect to have your equipment insured under coverage arranged <br />by Caterpillar Insurance Services Corporation that has been designed specifically for the purchasers of Caterpillar <br />equipment. <br />I hereby request and apply for information and a quote for physical damage insurance from Caterpillar Insurance Services <br />Corporation for die following equipment in the following manner: <br />Model # Equipment Description <br />Value <br />Pymt Method -3 <br />Pyint Method -1 <br />Serial # <br />Including Tax <br />Total Premium <br />rinance Pv7nt <br />A WOW Cater 111 r1 GENERATOR <br />S33,07700 <br />S1,17886 <br />S424174 <br />s,N CAT00C44PD4BO <br />B 175KW Cate illarGENERATOR <br />s•N CATOOC66EW6D�1821 <br />550;67.00 <br />SL79i08 <br />%45_4 <br />C TRAILER Caterpift i RAILER <br />57,50000 <br />536730 <br />S4, 113 <br />D'IRAILE:R CatupillarTRA1LER 510.00000 535640 $12840 <br />Sharon Blair <br />Authorized Insurance Producer <br />Poliev Summary <br />Please note: This is only a brief description of the Physical Damage Program. Contractual provisions contained in the <br />policy will govern. <br />Coverage <br />Caterpillar Physical Damage Insurance protects your equipment against physical damage losses. including collision, tire. <br />theft, vandalism. upset or overturn, floods, sinking, earthquakes and other unfortunate acts of nature. The protection has <br />been designed for owners of heavy equipment and provides superior benefits you most likely would not find in other <br />plans. <br />The Caterpillar Physical Damage Insurance does include normal exclusions, The exclusions included are wear and tear. <br />lust. loss of income. war, nuclear damage. and mechanical breakdown. automobiles, watercraft, waterborne shipments. <br />tires or tubes damaged by blow -out. puncture. and road damage. <br />Repairs <br />When a covered loss occurs. this plan will pay for Caterpillar replacement parts on all your new or used Caterpillar <br />equipment. On all non- Caterpillar equipment, the plan will pay for comparable replacement parts. <br />Form No CISCICSF -3108 Dealer Code Elfin 12140;7 05/_7, ' JI PMCT <br />3'1403714 <br />