Submit the completed insurance requirements form and endorsement to J.E.M. FX Inc. via the following methods: Email: rentals@jemfxinc.com, Fax: (818)882-7622, Physical Address: J.E.M. FX Inc., 28255 Kelly Johnson PKWY, Valencia, CA 91355. Ensure all documents are current and accurate to avoid delays in the rental process. It is advisable to contact your insurance provider ahead of time to facilitate a smooth submission.

The insurance documentation for equipment rental must be current through all dates shown on the Rental Agreement. This applies to all equipment rentals in 2024 and 2025.

The purpose of this form is to ensure that all vendors renting equipment from J.E.M. FX Inc. meet the necessary insurance requirements. This includes General Liability, Auto Policy, and Miscellaneous Equipment Policy coverages to protect both parties during the rental period. Completing this form accurately helps prevent any issues or delays in the rental process. Ensuring proper insurance coverage is crucial for both the vendor and J.E.M. FX Inc., as it mitigates potential risks and liabilities. This form outlines the specific insurance policies and endorsements required for different types of equipment and operations. Understanding and adhering to these requirements is essential for a smooth and secure rental experience. By submitting this form along with the required documentation, vendors demonstrate their commitment to maintaining adequate insurance coverage. This helps establish trust and reliability between the vendor and J.E.M. FX Inc., fostering a successful and professional rental partnership. Always review the insurance requirements carefully and consult with your insurance provider if needed.

• 1. Date: The date when the Certificate of Insurance is issued.
• 2. Producer Contact: Details of the insurance agent/broker including contact name, address, phone number, and email.
• 3. Insurers: List of all applicable insurance companies along with their NAIC numbers.
• 4. Insured: Details of the vendor including name, address, and contact information.
• 5. Coverages: Information about the insurance coverage including policy numbers, effective dates, expiration dates, and coverage limits.
• 6. Certificate Holder: Details of the certificate holder, J.E.M. FX Inc., including address.
• 7. Endorsement: A copy of the endorsement page required for additional insured parties.
• 8. Additional Information: Any additional remarks or relevant information regarding the insurance coverage.

Failure to submit this form may result in delayed or denied equipment rental from J.E.M. FX Inc.

• Delayed Rental: The rental process may be delayed until all required documentation is provided.
• Denied Rental: Without proper insurance documentation, J.E.M. FX Inc. may deny the equipment rental request.
• Financial Liability: Vendors may be financially liable for damages or losses if the proper insurance is not in place.

• 1. Equipment Rental: To rent large or miscellaneous equipment from J.E.M. FX Inc.
• 2. Transport of Equipment: When transporting large equipment requiring Auto Policy insurance coverage.
• 3. Insurance Endorsement: To provide proof of insurance endorsement for General Liability.