Certificate of Insurance Guidance Form

Dear Customer / Insurance Provider:

Please provide us with a Certificate of Automobile Liability Insurance as a substitute for our Protection Plans. We require the following criteria as evidence of applicable coverages:

  1. Types of Insurance must indicate any auto, hired auto, or non-owned auto. Other designations are not acceptable.
  2. The policy expiration date. A current Certificate of Insurance is required.
  3. Liability limit must equal or exceed $750,000 combined single limit for bodily injury and property damage unless commercial fireworks ( US DOT HM DIV 1.3G, 1.1G) are to be transported, in which case a minimum $5,000,000 combined single limit is required.USE OF BUDGET TRUCKS TO TRANSPORT US DOT HM DIV 1.1D OR 1.2G CLASSIFIED EXPLOSIVES, IS STRICTLY PROHIBITED.
  4. If provided, Vehicle Physical Damage should indicate “Actual Cash Value”. (Please note that the current vehicles value of our trucks range in price with a maximum value of $50K.)
  5. The Description of Operations must read as follows:

    Avis Budget Group, Inc. and its Subsidiaries, including Avis Budget Car Rental, LLC, Budget Rent A Car System, Inc., and Budget Truck Rental, LLC, and any other party or vehicle owner who may be held responsible for the operation, maintenance and use of the rental vehicle are included as Additional Insured’s (Loss Payee**). Coverage is extended to include all vehicles leased, rented or supplied as a substitute or as an additional vehicle to the Named Insured.
    (**If the policy includes Hired-Auto Physical Damage, “/Loss Payee” should appear.)

  6. The Certificate Holder Address must read as follows:

    Avis Budget Group, Inc. and its Subsidiaries
    C/o Budget Truck Rental, LLC
    PO Box 690360
    Tulsa, OK 74169-0360

Please mail the revised certificate of insurance to the address listed in item six (6). If you have any questions, please contact our Insurance Coordinator at (800) 971 1205 ext. 5962. For immediate approval please fax the certificate to (918) 622 0991 Thank you for your attention to this matter.



Revised 2/23/2007