Transcription of AGENCY CUSTOMER ID: COMMERCIAL GENERAL …
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AGENCY CUSTOMER ID: COMMERCIAL GENERAL …
AGENCY CUSTOMER ID: DATE (MM/DD/YYYY). COMMERCIAL GENERAL LIABILITY SECTION. AGENCY CARRIER NAIC CODE. policy NUMBER EFFECTIVE DATE APPLICANT / FIRST NAMED INSURED. IMPORTANT - If CLAIMS MADE is checked in the COVERAGE / LIMITS section below, this is an application for a claims-made policy . Read all provisions of the policy carefully. COVERAGES LIMITS. COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $ PREMIUMS. CLAIMS MADE OCCURRENCE LIMIT APPLIES PER: PREMISES/OPERATIONS. policy LOCATION. OWNER'S & CONTRACTOR'S PROTECTIVE PROJECT OTHER: PRODUCTS & COMPLETED OPERATIONS AGGREGATE $ PRODUCTS.
attach to acord 125 agency customer id: effective date carrier naic code policy number applicant / first named insured agency 4. retroactive date: 3. number of employees covered by employee benefits plans:
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