Transcription of MISCELLANEOUS PROFESSIONAL LIABILITY …
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MISCELLANEOUS PROFESSIONAL LIABILITY …
A066s (05/13) Contains copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 3 MISCELLANEOUS PROFESSIONAL LIABILITY supplemental APPLICATION mortgage FIELD INSPECTOR / PROPERTY PRESERVATION SERVICE THIS IS A supplemental APPLICATION COVERAGE IS SUBJECT TO A FULLY EXECUTED MISCELLANEOUS PROFESSIONAL LIABILITY APPLICATION ALL QUESTIONS MUST BE ANSWERED IN FULL. supplemental APPLICATION MUST BE SIGNED AND DATED BY THE APPLICANT. Applicant s Name Agent Please provide the following information: 1. Indicate below the percentage of the Applicant's annual revenue derived from the following services: mortgage Field Inspection: % Property Preservation Services % 2. Indicate below the percentage of the Applicant's gross annual revenue derived from service to the following: Commercial Properties: % Residential Properties: % 3.
miscellaneous professional liability supplemental application . mortgage field inspector / property preservation service . this is a supplemental application – coverage is subject to a fully executed
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