CANCELLATION REQUEST / POLICY RELEASE DATE …
policy release statement for agency/company use method of cancellation name and address request/release distribution acord 35 (1/97) date (mm/dd/yy) producer code: sub code: agency customer id: company name and address naic code: policy type insured name and …
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ADDITIONAL INSURED-VENDORS BROAD FORM …
www.alleganygroup.comLS-71 Ed. 9/02 LS-71 Ed. 9/02 ADDITIONAL INSURED-VENDORS BROAD FORM Applies to Commercial General Liability Coverage Refer to Supplemental Declarations if information is not shown on this form.
COVERAGES LIMITS - Allegany Insurance Group
www.alleganygroup.comproperty shall accept as evidence of insurance a written binder issued by an authorized insurer or its agent if the binder includes or is accompanied by: the name and address of the borrower; the name and address of the lender as loss payee; a description of the insured real property; a provision that the binder may not be canceled
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