Equipment Provider List Form 5C CHECK ALL APPROPRIATE BOXES 2/26/16 ACL/Grimaldi Group/Inarme (*)(**) Matson Navigation Company of Alaska LLC (*) APL Co. Pte Ltd/Eagle Marine Services (EMS)(*)(**).

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How to fill out the Equipment Provider List Form 5c online

Filling out the Equipment Provider List Form 5c online is an essential step for ensuring that all relevant providers are properly named as additional insured. This guide will provide clear, step-by-step instructions to help you navigate the form with confidence.

Follow the steps to complete the form accurately and efficiently.

  1. Click the ‘Get Form’ button to access the Equipment Provider List Form 5c and open it in the available online editor.
  2. Review the list of equipment providers. Carefully check all appropriate boxes corresponding to the providers you wish to designate as additional insured. This is crucial for compliance and coverage.
  3. Provide your motor carrier company name in the designated field. Ensure accuracy as this name will be associated with the insurance coverage.
  4. Fill in the complete address of your motor carrier company. This should include your street address, city, state, and zip code.
  5. Enter your phone number. This should be a direct line that can be used for any inquiries about the form or coverage.
  6. Insert your fax number if applicable. This is where your signed form may be sent to your insurance agent.
  7. Input your email address. This will enable your insurance agent to contact you electronically regarding the form and insurance details.
  8. Ensure the insurance agent or insurance company signature is included. This signature is vital for validating the form.
  9. Date the form appropriately. Ensure the date corresponds with when the form is filled out to maintain accurate records.
  10. Provide the email address of the insurance agent or company. This allows for quick communication and confirmation of coverage.
  11. Review the form for any errors or incomplete sections before finalizing. Accuracy is important to avoid any processing delays.
  12. After confirming everything is correct, save your changes in the online editor. You can then download, print, or share the form directly with your insurance agent as needed.

Complete your Equipment Provider List Form 5c online today and ensure your coverage is up to date.

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How do I get my SCAC code from UIIA?

You can use Form 4 of the UIIA Application packet to apply for a SCAC Code through the NMFTA or you can apply for the code online at https://secure.nmfta.org/.

Click on Update EP List in the lefthand nav menu to bring up the Equipment Provider Selection screen (Figure 16, below). This screen will allow you to add or remove an equipment provider from your initial list of Equipment Providers (EPs).

Click the checkbox next to the Equipment Providers you wish to add, and then click Save. If your company wants to remove an Equipment Provider from the list, simply uncheck the box next to the Equipment Provider's company name then click Save at the bottom of the screen.

Although the FMCSA only requires a minimum of $750,000 in Auto Liability Coverage, the UIIA requires at least $1 Million. Each policy needs to have at least a “Scheduled and Hired Autos Policy” to be eligible to run for the UIIA.

The Uniform Intermodal Interchange and Facilities Access Agreement (UIIA) is the only standard industry contract that outlines the rules for the interchange of equipment between intermodal trucking companies and equipment providers (ocean carriers, railroads & equipment leasing companies).

THE UIIA: A PRIMER ON THE UNIFORM INTERMODAL INTERCHANGE AGREEMENT.

The UIIA is the only standard industry contract that outlines the rules for the interchange of equipment between intermodal trucking companies and equipment providers (ocean carriers, railroads & equipment leasing companies).

The Uniform Intermodal Interchange & Facilities Access Agreement is a standard interchange contract administered by IANA and developed to promote intermodal productivity and operating efficiencies.

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