PROPERTY SECTION DATE (MM/DD/YYYY)
REMARKS (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) MINE SUBSIDENCE COVERAGE (Required in IL, IN, KY and WV) ACCEPT COVERAGE REJECT COVERAGE LIMIT: $ TYPE VALU- DED ATION SUBJECT OF INSURANCE AMOUNT COINS % CAUSES OF LOSSINFLATION GUARD % DED BLKT …
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COMMERCIAL GENERAL LIABILITY SECTION DATE …
www.colonialgeneral.comOTHER COVERAGES, RESTRICTIONS AND/OR ENDORSEMENTS (For hired/non-owned auto coverages attach the applicable state Business Auto Section, ACORD 137) IMPORTANT - If CLAIMS MADE is checked in the COVERAGE / LIMITS section below, this is an application for a claims-made policy. Read all provisions of the policy carefully. Attach to ACORD 125
COMMERCIAL INSURANCE APPLICATION DATE …
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