Transcription of ACORD Application General Liability
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Example: tourism industry
ACORD Application General Liability
NAME (Other Named Insured) AND MAILING ADDRESS (including ZIP+4)NAICSBUSINESS PHONE #:TRUSTAND MANAGERS:SUBCHAPTER "S" CORPORATIONNO. OF MEMBERSNOT FOR PROFIT ORGJOINT VENTURECORPORATIONPARTNERSHIPINDIVIDUALL LCWEBSITE ADDRESSSICGL CODEFEIN OR SOC SEC #NAME (Other Named Insured) AND MAILING ADDRESS (including ZIP+4)NAICSBUSINESS PHONE #:TRUSTAND MANAGERS:SUBCHAPTER "S" CORPORATIONNO. OF MEMBERSNOT FOR PROFIT ORGJOINT VENTURECORPORATIONPARTNERSHIPINDIVIDUALL LCWEBSITE ADDRESSSICGL CODEFEIN OR SOC SEC #VEHICLE SCHEDULEVACANT BUILDING SUPPLEMENTSTATE SUPPLEMENT (If applicable)STATEMENT / SCHEDULE OF VALUESRESTAURANT / TAVERN SUPPLEMENTPROFESSIONAL Liability SUPPLEMENTPREMIUM PAYMENT SUPPLEMENTLOSS SUMMARYINTERNATIONAL PROPERTY EXPOSURE SUPPLEMENTINTERNATIONAL Liability EXPOSURE SUPPLEMENTADDITIONAL INTERESTATTACHMENTSCONTRACTORS SUPPLEMENTCONDO ASSN BYLAWS (for D&O Coverage only)APARTMENT BUILDING SUPPLEMENTADDITIONAL PREMISESCOVERAGES SCHEDULEDRIVER INFORMA
Applicable in Colorado: It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, …
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