Transcription of COMMERCIAL INSURANCE APPLICATION DATE …
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Example: bankruptcy
COMMERCIAL INSURANCE APPLICATION DATE …
NAME (Other Named Insured) AND MAILING ADDRESS (including ZIP+4)NAICSBUSINESS PHONE #:TRUSTAND MANAGERS:SUBCHAPTER "S" CORPORATIONNO. OF MEMBERSNOT FOR PROFIT ORGJOINT VENTURECORPORATIONPARTNERSHIPINDIVIDUALL LCWEBSITE ADDRESSSICGL CODEFEIN OR SOC SEC #NAME (Other Named Insured) AND MAILING ADDRESS (including ZIP+4)NAICSBUSINESS PHONE #:TRUSTAND MANAGERS:SUBCHAPTER "S" CORPORATIONNO. OF MEMBERSNOT FOR PROFIT ORGJOINT VENTURECORPORATIONPARTNERSHIPINDIVIDUALL LCWEBSITE ADDRESSSICGL CODEFEIN OR SOC SEC #VEHICLE SCHEDULEVACANT BUILDING SUPPLEMENTSTATE SUPPLEMENT (If applicable)STATEMENT / SCHEDULE OF VALUESRESTAURANT / TAVERN SUPPLEMENTPROFESSIONAL LIABILITY SUPPLEMENTPREMIUM PAYMENT SUPPLEMENTLOSS SUMMARYINTERNATIONAL PROPERTY EXPOSURE SUPPLEMENTINTERNATIONAL LIABILITY EXPOSURE SUPPLEMENTADDITIONAL INTEREST SCHEDULEATTACHMENTSCONTRACTORS SUPPLEMENTCONDO ASSN BYLAWS (for D&O Coverage only)APARTMENT BUILDING SUPPLEMENTADDITIONAL PREMISES INFORMATION SCHEDULECOVERAGES SCHEDULEDRIVER INFORMATION SCHEDULENAME (First Named Insured) AND MAILING ADDRESS (including ZIP+4)NAICSBUSINESS PHONE #:TRUSTAND MANAGERS:SUBCHAPTER "S" CORPORATIONNO.
TENANT $ SQ FT ANY AREA LEASED TO OTHERS? ... 9.HAS APPLICANT HAD A FORECLOSURE, REPOSSESSION, BANKRUPTCY OR FILED FOR BANKRUPTCY DURING THE LAST FIVE (5) YEARS? ... Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false ...
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