Transcription of Cargo Application - jplush.com
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Cargo ApplicationCOLUMBIA INSURANCE COMPANY NATIONAL INDEMNITY COMPANYNATIONAL FIRE & MARINE INSURANCE COMPANYNATIONAL LIABILITY & FIRE INSURANCE COMPANYNATIONAL INDEMNITY COMPANY OF THE SOUTHNATIONAL INDEMNITY COMPANY OF MID-AMERICAP olicy Term From: To: 1. Name (and "dba") Individual/Proprietorship Partnership Corporation Other Business Phone Number 2. Premises Address City State Zip 3.
34. Is our policy to cover all vehicles owned, operated or under lease to applicant? Yes No If no, explain 35. Is oversize, overweight cargo hauled?
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