Transcription of Form E UNIFORM MOTOR CARRIER BODILY INJURY …
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Form E. UNIFORM MOTOR CARRIER BODILY INJURY AND PROPERTY. damage liability certificate OF insurance . ( execute in Triplicate). Filed with _____ (hereinafter called Commission). (Name of Commission). This is to certify, that the _____. (Name of Company). (hereinafter called Company) of _____. (Home Office Address of Company). has issued to _____. (Name of MOTOR CARRIER ). Of _____. (Address of MOTOR CARRIER ). a policy or policies of insurance effective from _____12:01 standard time at the address of the insured stated in said policy or policies and continuing until cancelled as provided herein, which, by attachment of the UNIFORM MOTOR CARRIER BODILY INJURY and Property damage liability insurance Endorsement, has or have been amended to provide automobile BODILY INJURY and property damage liability insurance covering the obligations imposed upon such MOTOR CARRIER by the provisions of the MOTOR CARRIER law of the State in which the Commission has jurisdiction or regulations promulgated in accordance therewith.
Form E UNIFORM MOTOR CARRIER BODILY INJURY AND PROPERTY DAMAGE LIABILITY CERTIFICATE OF INSURANCE (Execute in Triplicate) Filed with _____ (hereinafter called Commission)
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