Transcription of ACORD CRIME SECTION - advancede-s.com
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ACORD CRIME SECTION - advancede-s.com
CRIME SECTIONABCDEFGHQPLAN 1 COVERAGE AMENDMENTS (Endorsements)ERISA EMPLOYEE DISHONESTY - ADDITIONAL INFORMATION (Coverage form A)CLASSIFICATION OF EMPLOYEES/LOCATIONS (Coverage Forms A & B)CONTROLS (Coverage form A) ACORD 141 (10/98)cOACORD CORPORATION 1980 ATTACH TO APPLICANT INFORMATION SECTIONDATEPRODUCERPHONE(A/C, No, Ext):CODE:SUB CODE:AGENCYCUSTOMER ID:APPLICANT(FirstNamedInsured)EFFECTIVE DATEEXPIRATION DATEPAYMENT PLANAUDITFORCOMPANYUSE ONLYBASIS FOR COVERAGEDISCOVERYLOSS SUSTAINEDFORM TITLELIMITDEDUCTIBLEFORM TITLELIMITDEDUCTIBLE$$$$$$$$$$$$$$$NAME OF PLANPRINCIPAL ADDRESSNUMBER OF TRUSTEES,EMPLOYEES, ETCHANDLING PLAN ASSETSNUMBER OFPLAN PARTICIPANTSNUMBER OF:NUMBER OF:NUMBER OF:NUMBER OF:NUMBER OFOFFICERS:TOTAL NUMBER OFOTHER EMPLOYEES:MANUFACTURERS, PROCESSORS, WHOLESALERSOR DISTRIBUTORS; NUMBER OF RETAIL LOCATIONS:ALL OTHER CLASSES; NUMBER OF LOCA-TIONS OTHER THAN HOME OR HEAD OFFICES:AUDITBANKING/OTHERYESNOFORMLTRFO RMLTR1.
crime section a b c d e f g h q plan 1 coverage amendments (endorsements) erisa employee dishonesty - additional information (coverage form a) classification of ...
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