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FLEXI PLUS FIVE APPLICATION Instructions: Applicant

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FLEXI plus five APPLICATION NOT-FOR-PROFIT ORGANIZATION DIRECTORS AND OFFICERS liability INSURANCE employment practices liability INSURANCE FIDUCIARY liability INSURANCE WORKPLACE VIOLENCE COVERAGE INTERNET liability INSURANCE THIS IS AN APPLICATION FOR A CLAIMS MADE POLICY PLEASE READ YOUR POLICY CAREFULLY Instructions: Whenever used in this APPLICATION the term Applicant shall mean the Parent Organization and its wholly-owned/controlled subsidiaries. The Applicant is required to complete Sections 1, 2, and 7. The Applicant should complete other applicable Section(s) for which coverage is desired.

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