Transcription of NON-PROFIT SUPPLEMENTAL APPLICATION NON …
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NON-PROFIT SUPPLEMENTAL APPLICATION NON …
NON-PROFIT SUPPLEMENTAL APPLICATION NON- social SERVICE ORGANIZATIONS (intended for small Non- social Service accounts, : Chamber of Commerce accounts) REQUIREMENTS FOR SUBMISSION Completed and signed/dated PHLY NP Non- social Service SUPPLEMENTAL APPLICATION Completed ACORD APPLICATION for all lines being requested Currently valued Insurance Company loss runs for the current policy period plus three (3) prior years or a no knownor reported loss letter signed by an officer of the insured covering the same time period Narrative of operations If social Service Professional or Abuse and Molestation Coverages are requested, use the Human ServicesSupplement in lieu of this LIABILITY Revenues: $Annual Liquor Receipts: $ # Members:Total # Annual Meetings/Gatherings: under same the Applicant involved in political or other rallies?Yes No If yes, please the Applicant have a written policy strictly prohibiting hostile & antagonizing behavior?
NON-PROFIT SUPPLEMENTAL APPLICATION NON-SOCIAL SERVICE ORGANIZATIONS (intended for small Non-Social Service accounts, i.e.: Chamber of Commerce accounts)
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