Monthly Trailer Rental Fill

Monthly Rental - Fill

Customer Information

PLEASE READ BEFORE BOOKING:

Rates include Reefer hours and mileage.
Once approved, you must provide a Certificate of Insurance (COI) before you pickup up the reefers.
All businesses must have a registered and active USDOT# and has been in business for a minimum of 2 years.
You'll receive instructions on how to pickup the reefers.

LOCATION : 201 Five Forks Dr, Cartersville, GA

Monthly Rate: $1800

Rate include reefer hours & mileage!

Type of Vehicle

Unit Number

Trailer Length

Make, Model, Color

Unit Number

Trailer Length

Unit 12425 - 2013 Utility 3000R

Unit 62283 - 2013 Wabash

Unit 21253 - 2012 Wabash

Unit 27653 - 2013 Wabash

Unit 21553 - 2012 Wabash

Unit 20953 - 2012 Wabash

Unit 26653 - 2013 Wabash

Pickup Date

Total Month(s)

First Name

Middle Name

Last Name

Company Name

Owner

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone Number:

General Business Information

Federal Tax ID #:

Date of Incorporation

State of Incorporation

USDOT #

Insurance Requirements

Liability Insurance

PIE Technology Consulting LLC Rental must be listed as an Additional Insured and Loss Payee. PIE Technology Consulting LLC Rental requires the customer to maintain the full minimum liability coverage. Minimum coverage for both Commercial General Liability and Auto Liability is $1 Million. Lessee is otherwise responsible for maintaining the minimum levels of financial responsibility required data-required by applicable law.

Insurance Agency/Carrier Name:

Contact Name:

Phone Number:

Email Address

Physical Damage

PIE Technology Consulting LLC Rental must be listed as Loss Payee on Physical Damage policy. Trailer Interchange limit must cover $50,000 for each trailer.

Customer-Provided Insurance (Maximum Permissible Deductible is $2500)

Yes

Upload ACORD or COI, Articles of Corporation or Current Registration

Choose File

PAYMENT & CHECK OUT

I hereby acknowledge that the information that I provided in this agreement is complete and accurate.

CONTACT US IF YOU WANT TO RESERVE 2 TRAILERS OR MORE.
*NO PARTIAL REFUND AFTER PICKUP.*
REVIEW OUR RENTAL & REPAIR POLICY BEFORE BOOKING. TEXT/CALL 470-460-7275 OR EMAIL US AT TRAILERS@PIETCONSULTING.NET IF YOU HAVE ANY CONCERNS OR QUESTIONS.

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