BUSINESS CREDIT - Barco · Web viewBARCO Rent-A-Truck717 South 5600 WestSalt Lake City, Utah 84104 BARCO Rent-A-Truck 717 South 5600 West Salt Lake City, Utah 84104 Corporate Office

BARCO Rent-A-Truck717 South 5600 WestSalt Lake City, Utah 84104

This document includes our billing setup and credit application.

Please fill out pages 2, 3, & 4.

Page 5 includes a sample insurance certificate.

Page 6 outlines our insurance requirements.

We will need the following documents sent to us:

1. Completed business account setup and credit application (Two payment methods if in business less than five years)

2. A copy of your current business license

3. A certificate of insurance listing BARCO Rent-A-Truck as: Additionally Insured and Loss Payee

4. A copy of a photo ID for the person who will be signing the rental agreements

Corporate Office717 South 5600 West Salt Lake City, Utah 84104 www.barcorentatruck.com Salt Lake City (801) 532-7777 Toll Free (800) 453-4761 Fax (877) 865-2316

http://www.barcorentatruck.com/


Business Account SetupBilling Address

Name of Business:Tax Exempt Yes No

Address: Tax Exempt Number:

(Please attach copy of certificate) City: State: ZIP: Main Phone:

All contacts are required

Primary Accounts Payable:Name: Title:

Phone: Email:

Name: Title:

Phone: Email:

Employees Authorized for Rentals:Name: Title:

Phone: Email:

Name: Title:

Phone: Email:

Name: Title:

Phone: Email:

Purchase order required Yes No

Payment Method: (please complete included Payment Authorization form)

ACH (eCheck) Credit Card

Additional Special Billing Instructions




Business Credit ApplicationName/Address

Name of Business: Tax I.D. Number Address: City: State ZIP: Phone:

Company InformationType of Business: In Business Since: NAICS Code (Required) DNB #: # of Employees: Legal Form Under Which Business Operates: Corporation Partnership Proprietorship If Division/Subsidiary, Name of Parent Company: In Business Since: Name of Company Principal Responsible for Business Transactions: Title: Address: City: State: ZIP: Phone:

Bank ReferencesInstitution Name: Institution Name: Checking Account #: Savings Account #: Address: Address: Phone: Phone:

Trade References (3 required)Company Name: Company Name: Company Name: Contact Name: Contact Name: Contact Name: Address: Address: Address: Phone: Phone: Phone: Email: Email: Email: Fax: Fax: Fax: Account Opened Since: Account Opened Since: Account Opened Since: Credit Limit: Credit Limit: Credit Limit: Current Balance: Current Balance: Current Balance:

I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. Furthermore, I hereby authorize the financial institutions listed in this credit application to release necessary information to the company for which credit is being applied for in order to verify the information contained herein.

Print Name Authorized Signature Date

* A monthly recurring late fee of 3% will be added to all past due balances *




Payment Authorization

Name of Business:

X Automatic recurring monthly charge on the 1st of each month

ACH (eCheck): Bank Name:

Name on Account:

Bank Account Type: Business Checking Personal Checking Savings

Bank Contact: Phone:

Bank ABA Routing Number

Account Number

*Please attach a copy of voided check*

Credit Card: Name on Card:

Card Type:

Visa Master Card American Express Discover

Credit Card # Expiration / CVV/CID

Billing Address Street: City: ST: Zip:

Email Receipt to:

Please note, a 3% convenience fee will be added to any payments processed by credit card.

This payment authorization is valid and will remain in effect through the end of the rental contract or until I notify Barco Rent A Truck of its cancellation by email at [email protected] or by calling 800-453-4761.

Print Name Authorized Signature Date

* A $35 service fee will be charged for declined credit cards or payments returned as NSF. A monthly recurring late fee of 3% will be added to all past due balances. *



mailto:[email protected]





Insurance Requirements:

Renter must insure the rental for up to the value of the vehicle as stated on page two of the rental agreement with a maximum deductible of $1,000. The deductible needs to be shown on the certificate of Insurance.

Auto liability with a Combined Single Limit of at least $1,000,000.00 for bodily injury and property damage.

The policy must include a Waiver of Subrogation in favor of BARCO Rent A Truck. The policy should reflect BARCO Rent A Truck as Additional Insured. BARCO Rent A Truck must be specified as a Loss Payee in regards to rental vehicles. Auto liability coverage needs to be Primary and Non-Contributory. Company must provide a certificate of insurance reflecting coverage and provisions indicated

in the sample certificate provided. Insurance Agent contact information needs to be listed on the certificate.

Required Insurance as stated on BARCO’s Rental Agreement. On or before the date of this Agreement, and until Renter returns Vehicle to BARCO (us), Renter, at your sole cost and expense, shall procure and continue in force insurance with respect to Vehicle to cover: (a)property damage and bodily injury combined (based on primary coverage and excess or "umbrella coverage" combined) for not less than $1,000,000 per occurrence, and (b) collision, fire, theft and comprehensive coverage in the amount equal to the value of Vehicle as shown on page 1 of this Agreement (with a maximum deductible acceptable to us), listing BARCO as Loss Payee and Additional Insured. Provided, however, that the insurance provided for above shall not limit in any way the liability of Renter under this Agreement. Such insurance shall be based on Renter's own coverage and not in combination with any coverage BARCO may carry. Such insurance shall provide that we will be given at least ten (10) days advance written notice of any cancellation, reduction or other material change in coverage, and Renter further agrees that, separate from any notice BARCO may receive from the insurance company, you will provide us with at least ten(10) days advance written notice of any cancellation, reduction or other material change in coverage. You will provide us with whatever written proof of the required coverage we request.

Insurance Certificate can be mailed to the corporate office address below, emailed to: [email protected] or fax: (877) 865-2316.



Documents

BUSINESS CREDIT - Barco · Web viewBARCO Rent-A-Truck717 South 5600 WestSalt Lake City, Utah 84104 BARCO Rent-A-Truck 717 South 5600 West Salt Lake City, Utah 84104 Corporate Office