Transcription of COMMERCIAL GENERAL LIABILITY SECTION DATE …
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COMMERCIAL GENERAL LIABILITY SECTION DATE …
ACORD TM COMMERCIAL GENERAL LIABILITY SECTION . date (MM/DD/YY). PRODUCER PHONE APPLICANT. (A/C, No, Ext): (First Named Insured). EFFECTIVE date EXPIRATION date DIRECT BILL PAYMENT PLAN AUDIT. AGENCY BILL. FOR. COMPANY. CODE: SUB CODE: USE ONLY. AGENCY. CUSTOMER ID: COVERAGES LIMITS. COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $ PREMIUMS. CLAIMS MADE OCCURRENCE PRODUCTS & COMPLETED OPERATIONS AGGREGATE $ PREMISES/OPERATIONS. OWNER'S & CONTRACTOR'S PROTECTIVE PERSONAL & ADVERTISING INJURY $. EACH OCCURRENCE $ PRODUCTS. DEDUCTIBLES FIRE DAMAGE (Any one fire) $. PROPERTY DAMAGE $ MEDICAL EXPENSE (Any one person) $ OTHER. PER. BODILY INJURY $ CLAIM EMPLOYEE BENEFITS $. PER. $ OCCURRENCE.
commercial general liability section coverages limits schedule of hazards claims made (explain all "yes" responses) employee benefits liability acord 126-s (1/97) please complete reverse side oc acord corporation 1993
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