Cossio Insurance Agency Family Entertainment Centers
Inflatable Rentals
NOTE: Remember not to hit your back button or your refresh button so that you do not
accidentally erase or wipe out any type of information that you have typed in.
Inflatable Rental type:
With Operators
Without Operators
Both
With Operators Estimated Annual Receipts :
$
With Operators Annual Events or Units Sold:
With Operators Number of Items:
With Operators Total Value of Items:
W/O Operators Estimated Annual Receipts :
$
W/O Operators Annual Events or Units Sold:
W/O Operators Number of Items:
W/O Operators Total Value of Items:
Are written Instructions, procedures & training provided for operators?
Yes
No
Are there Customer Training Procedures?
Yes
No
Please attach the training procedures by clicking on the browse button.
How many operators accompany each piece of equipment at rental site?
Describe specialized training or memberships:
Is equipment ever left unattended while set up at an event?
Yes
No
Explain:
Are there age/height/weight limitations for users?
Yes
No
If yes, are the limitations clearly displayed?
Yes
No
Do you prohibit the use by adults (>15 yrs old) & children at the same time?
Yes
No
Are inflatables set up on a flat surface & properly secured?
Yes
No
Do you have Watchdog Siren Warning Devices?
Yes
No
How many watchdog devices?
Is protective gear used for Interactive Games?
Yes
No
Are release forms required from users prior to use?
Yes
No
Please attach the release form by clicking on the browse button.
How is equipment transported to and from events:
Do you maintain & operate equipment in accordance with manufacturers instructions?
Yes
No
How often is equipment inspected for damages/safety?
Is there a scheduled maintenance plan?
Yes
No
Do manufacturers provie certs. of insurance and naming you as addtl. insured?
Yes
No
Equipment Stored Address:
Construction:
Fire Resistive
Masonry Non-Comb.
Joisted Masonry
Frame
Other
If other, please describe:
Sprinklered?
Yes
No
Burglar Alarm?
Yes
No
Cen. Station
Local
Please attach the equipment schedule by clicking on the browse button.
Please attach the rental agreement by clicking on the browse button.
Please attach the loss runs by clicking on the browse button.
Please make sure that you have completed everything to the best of your knowledge before going to the next page.