Party Equipment Rentals Application CIA

Cossio Insurance Agency Party Equipment Rentals Application

DEVICE QUESTIONS

QUESTIONS IN REGARDS TO YOUR EQUIPMENT
Do you rent any of your amusement devices/rides without operators or attendants?
Yes No

Are your amusement devices/rides inspected by the state and/or you and your employees?
Yes No

Do you deliver the equipment?
Yes No
Do you set-up the equipment?
Yes No
Do you tear down the equipment?
Yes No
Do you allow the customer to pick up inflatables?
Yes No
Is any equipment left over night at the site where it was used?
Yes No
Do you have minimum number of hours that you allow the customer to rent the equipment?
Yes No
Do you have any Water Slides?
Yes No

ADVISE IF INVOLVED IN THE FOLLOWING ACTIVITIES
Equipment Rental Operations including but not limited to contractors equipment, household equipment, and furniture rental operations?
Yes No
Event planners using venues which include "superstar," "headliner," or box office celebrities
Yes No
Outdoor trackless train that does not have back brake or does not operate on flat ground
Yes No
Moonwalks & bouncers that do not have 4 sides, top, and landing pad
Yes No
Petting Zoos or other animal related exposure
Yes No
Outdoor Family Entertainment Centers
Yes No
Travelling Carnival
Yes No
Beachfront Activities
Yes No
Roller or Ice Skating Rink
Yes No
Slides exceeding 22 ft high
Yes No
Mechanical Bulls (other than galaxy or viv)
Yes No
Titanic Slide
Yes No
Metal dunk tanks
Yes No
Jacobs ladder type equipment
Yes No
Rollercoaster type equipment
Yes No
Tower bungees
Yes No
Reverse bungees
Yes No
Weekend Rentals (where equipment is left at the site for the entire weekend)
Yes No
Trampolines (Other than Bongos with safety harness)
Yes No
Equipment that requires a tractor trailer to move equipment on site
Yes No
Water Slide with mini pool
Yes No

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