Request for Certificate of Insurance
To include but not limited to:
– 2013 Sprinter Van and/or 2000 FL60 G4 and/or 1997 FL70 E4and/or 1000 amp Generator miscellaneous Lighting Rental Equipment

Certificate Holder:
Coach Sarge Cine, LLC.
ATTN: Bruce Fleskes
560 N 4th Avenue
Cornelius, OR 97113

Phone: 503-780‐2490
Email: coachsargecine@gmail.com

Minimum Coverage Requirement: 
– Listed as Additional Insured and loss payee
– $2,000,000 General Aggregate Liability
– $500,000 Misc. Rented Equipment
– $100,000 Hired Auto