Transcription of CDO - PACKAGE HOMEOWNER’S APPLICATION
{{id}} {{{paragraph}}}
Example: stock market
CDO - PACKAGE HOMEOWNER’S APPLICATION
CDO - PACKAGE HOMEOWNER'S APPLICATION . Company 1 - TOWNSHIP MUTUAL Requested Effective Date: Company 2 - STATEWIDE MUTUAL. _____. 12:01 standard time at location described New Fire Policy #:_____ Renewal of:_____. APPLICANT:_____ AGENCY: CODE:_____ WIND CO. USE. Address:_____ _____ Underwriter:_____. City/State/Zip:_____ _____ Data Entry:_____. Phone: Home:_____ Bus.:_____ _____ Checked By:_____. LOCATION OF RISK: Give 911 address for all locations with buildings. Latitude / Longitude: _____. Total Acres: _____, , , Range_____, Twp_____,_____County, MN, Rural Fire #_____. POLICY TYPE: PRIMARY RESIDENCE SEASONAL RESIDENCE CONDOMINIUM. PERILS: Basic Broad Special Preferred ("Classic") NOTE: The perils that apply to the Dwelling also apply to Household Personal Prop., except when Special Form applies to the Dwelling only Broad Form applies to the Household Personal Prop. unless otherwise requested. DEDUCTIBLE: $250 $500 $1,000 Base $1,500 $2,000 $2,500 $5,000 $10,000 COVERAGE AND LIMITS: NOTE: Applicant may determine amount of coverage applying to Coverage B and Coverage C.
CF-346 (Ed. 4-17) - 1 - Actual Loss sustained in 12 months GENERAL AGENT’S USE ONLY GA's Initials_____ BILL PREMIUM TO: Application has been reviewed and approved. CDO - PACKAGE HOMEOWNER’S APPLICATION
Loading..
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document: