After downloading, complete, sign, and date the form
then e-mail, fax, or mail it to us for processing.
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| Files below are in .PDF format |
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Basic Vehicle Insurance Coverage is required.
- 1. Available Online through MBA Insurance:
Order your certificate of insurance with MBA's Choice 0n-Line program. Just complete the steps online and you'll be on the road in no time. By completing and submitting the form, the renter agrees to the terms and conditions of the insurance. No coverage will be provided until MBA Insurance has received this form and payment. You will be able to print your certificate of insurance once your information has been verified and accepted. You must submit this certificate to your dealer before the vehicle will be released. Dealer info for the form: Black Hills RV Rentals LLC, DBA Bates MH Rentals of South Dakota - Policy Number: 5523. |
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- 2. By fax or mail through MBA Insurance:
Download Insurance Application Form above and complete appropriate section. Mail or fax to MBA Insurance as noted on form. The insurance company charges a processing fee of $20.00 for forms that are mailed or faxed.
- 3. Insurance Coverage by Endorsement or Binder from your Insurance Agent:
You can provide insurance from you auto or other insurance company. Download the Insurance Form above and, complete appropriate sections. Mail or fax to us with rental application form. |
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| SUPPLEMENTAL LIABILITY INSURANCE: Increase your third party liability
protection coverage to a maximum of $1,000,000. SLI is excess automobile
insurance that protects you and any authorized driver, as defined in the rental
agreement, against third party automobile claims for bodily injury and property
damage caused during permitted use of the rental vehicle.
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| TRAVEL INSURANCE - 24-hour Protection Assistance :
America's leading travel insurance company insuring more than 4 million travelers each year. We offer protection against trip cancellation penalties, travel interruptions and delays, emergency medical expenses, lost baggage and more. Plus, every Travel Guard policy includes our 24-hour "911" travel emergency service for emergency medical assistance, last-minute or emergency travel changes, lost luggage tracking, pre-trip travel advice and more. For more information, see TRAVEL GUARD on our "Links of Intrest" page or ask our RV rental agent at 888-978-2267.
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