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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) TOTAL COST - PER $1,000/COST(A)

additional interest/certificate recipient acord 45 attached for additional names employee as lessor lienholder mortgagee loss payee additional insured interest rank: name and address reference #: certificate required other scheduled item number: vehicle: boat: location: building: interest in item number item description: general information

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Transcription of ACORD COMMERCIAL GENERAL LIABILITY SECTION DATE

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