ACORD COMMERCIAL GENERAL LIABILITY …

TMACORDCOMMERCIAL GENERAL LIABILITY SECTIONDATEPRODUCER(A/C, No, Ext):PHONECODE:SUB CODE:CUSTOMER ID:AGENCYAPPLICANT(FirstNamedInsured)EFF ECTIVE DATEEXPIRATION DATEDIRECT BILLAGENCY BILLPAYMENT PLANAUDITFORCOMPANYUSE ONLYCOVERAGESLIMITSOCCURRENCECLAIMS MADEOWNER'S & CONTRACTOR'S PROTECTIVECOMMERCIAL GENERAL LIABILITYGENERAL AGGREGATEPRODUCTS & COMPLETED OPERATIONS AGGREGATEPERSONAL & ADVERTISING INJURYEACH OCCURRENCEDAMAGE TO RENTED PREMISES (each occurrence)MEDICAL EXPENSE (Any one person)EMPLOYEE BENEFITS$$$$$$$TOTALOTHERPRODUCTSPREMISE S/OPERATIONSPREMIUMSOCCURRENCEPERCLAIMPE R$$BODILY INJURY$PROPERTY DAMAGEDEDUCTIBLESOTHER COVERAGES, RESTRICTIONS AND/OR ENDORSEMENTS (For hired/non-owned auto coverages attach the Business Auto section , ACORD 127)SCHEDULE OF HAZARDSLOCATION#CLASSIFICATIONCLASSCODEP REMIUMBASISTERREXPOSUREPRODUCTSPREM/OPSP REMIUMPRODUCTSPREM/OPSRATE(T) OTHER(U) UNIT - PER UNIT(M) ADMISSIONS - PER 1,000/ADM(C) TOTAL COST - PER $1,000/COST(A)

tm acord commercial general liability section date producer (a/c, no, ext): phone code: sub code: customer id: agency applicant (first named insured) effective date …

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