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#CLASSIFICATIONCLASSCODEP REMIUMBASISTERREXPOSUREPRODUCTSPREM/OPSP REMIUMPRODUCTSPREM/OPSRATE(T) OTHER(U) UNIT - PER UNIT(M) ADMISSIONS - PER 1,000/ADM(C) TO
commercial general liability general aggregate products & completed operations aggregate personal & advertising injury each occurrence damage to rented premises (each occurrence) medical expense (any one person) employee benefits $ $ $ $ $ $ $ total other products premises/operations premiums occurrence per claim per $
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