Transcription of ACORD COMMERCIAL GENERAL LIABILITY SECTION DATE
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ACORD COMMERCIAL GENERAL LIABILITY SECTION DATE
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#CLASSIFICATIONCL
ACORD 126 (2000/04) PLEASE COMPLETE REVERSE SIDE ACORD CORPORATION 1993. CONTRACTORS EXPLAIN ALL "YES" RESPONSES (For past or present operations) YES NO EXPLAIN ALL "YES" RESPONSES (For past or present operations) YES NO FOR OTHERS? 1. DOES APPLICANT DRAW PLANS, DESIGNS, OR SPECIFICATIONS
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