Attached Files
Titan Sample Certificate.pdf
Insurance Requirements Warning
Titan Rentals
c/o CertFocus
PO Box 140528
Kansas City, MO 64114
Project Number: Titan
Sample Certificate

Upon completion of the certificate of insurance with the specified requirements outlined below,
fax to 701-203-0794 or email to
Requirements Provided by the Certificate Holder

This certificate is issued as a matter of information only and confers no rights upon the certificate holder.

The policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. Aggregate limits shown may have been reduced by paid claims.
General Liability
Commercial General Liability
Claims MadeOccur

Gen'l Aggregate Limit Applies Per:
Each Occurence $1,000,000.00
Fire Damage (Any One Fire)
Med Exp (Any One Person)
Personal & Adv Injury
General Aggregate
Products - Comp/Op Agg
Automobile Liability
Any Auto
All Owned Autos
Scheduled Autos
Hired Autos
Non-Owned Autos

Combined Single Limit
(Each accident)
Bodily Injury
(Per Person)
Bodily Injury
(Per Accident)
Property Damage
(Per Accident)
Garage Liability    
Any Auto Auto Only - Ea Accident
Other than
Auto Only:
Ea Acc 
Excess Liability Each Occurence
OccurClaims Made Aggregate
Workers Compensation & Employers' Liability WC Statutory Limits
E.L. Each Accident
E.L. Disease - EA Employer
E.L. Disease - Policy Limit
Other Coverages
  • Inland Marine Physical Damage Insurance Required   
Inland Marine Physical Damage Insurance Required   (IN)
Value of Equipment Rented
  • Certificate Holder to be named as additional insured on the general liability, automobile liability.
  • Certificate Holder named as loss payee on the inland marine policy
Description of Operations
Certificate Holder Cancellation
Titan Rentals
c/o CertFocus
PO Box 140528
Kansas City, MO 64114
Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, it's agents or representatives.

Mandatory Requirements as Specified by Certificate Holder

Titan Rentals must be named as additional insured on the General Liability and Automobile Liability policy.

Inland Marine Physical Damage must be in an amount equal to or greater than the rented equipment. Titan Rentals must be named as Loss Payee. If you do not have Inland Marine Physical Damage coverage speak to your local rental facility for details on purchasing the coverage with the rental.