COMMERCIAL GENERAL LIABILITY COVERAGE FORM

Workers’ Compensation Supplemental Application

Payroll Total # of Employees # of Shifts . Maximum # of Employees Per Shift : Type of Building (See List . Below) Year Built # of Stories : Floors

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AIG Workers’ Compensation Program Eligible Class …

AIG Workers’ Compensation Program Eligible Class List Builders & Tradesmen’s Insurance Services, Inc. • 6610 Sierra College Blvd. Rocklin, CA 95677 • 877.649.6682 toll free • 916.772.9292 fax • Lic #0D10271 • REV. 06.23.09

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COMMERCIAL GENERAL LIABILITY COVERAGE FORM

CG 00 01 04 13 © Insurance Services Office, Inc., 2012 Page 3 of 16 f. Pollution (1) "Bodily injury" or "property damage" arising

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BTIS DirectPay Users Guide 4.0 060517 - btisinc.com

User’s Guide BTIS DirectPay for Victory® Contractor General Liability is here! Manage your direct bill accounts online, anytime, anywhere. Ver. 4.0

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Religious Pac Supplemental Application - btisinc.com

files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and shall also be

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What Added Protection Does Our Faulty Workmanship ...

under the contractors general liability policy! • $30 Minimum Premium The great rate for this unique coverage enhancement is based on receipts, with a low $30 minimum premium! ... What Added Protection Does Our Faulty Workmanship Endorsement Provide? For as little as $30, this new and unique endorsement ...

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NOTICE: 1. THE INSURANCE POLICY THAT YOU ARE …

approved nonadmitted non-united states insurers. ask your agent, broker, or “surplus line” broker to obtain more information about that insurer.

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Small Artisan Contractor General Liability - btisinc.com

CLASS NAME/DESCRIPTION CLASS CODE CLASS NAME/DESCRIPTION CLASS CODE Air Conditioning 91111 Appliance Installation - Commercial 91150 Appliance Installation - Residential 91155

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Clear Spring Workers’ Comp

2731 Planing or Molding Mill 2735 Barrel Stock Mfg Wood 2759 Box Mfg Box Shook or Pallet Wooden 2790 Last or Shoe Form Mfg 2797 Manufactured 2799 Manufactured 2802 Carpentry Shop Only & Drivers 2835 Brush or Broom Assembly 2836 Brush or Broom Mfg NOC 2841 Brush or Broom Handle Mfg 2881 Barrel Assembly Wood 2883 Furniture Manufacturing and Cabinet

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To Pandemic-proof Businesses

• AmTrust • A˛une • Clear Spring • CNA • CBIC • Hiscox • USLI Get a Quote NJ DE RI CT NY PA MD VA NC SC TN KY OH IL IN WI MN IA MO AR LA TX OK KS NE SD ND MT WY CO NM AK HI AZ UT NV CA ID OR WA MI MS AL GA FL WV MA NH VT ME Contractor General Liability Availability Essential Pandemic Resistant Classes. btisinc.com | 877.649.6682

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PERSONAL AUTO POLICY - Welcome - Discovery …

personal auto policy stock company discovery insurance company po box 200 kinston, north carolina 28502 these policy provisions with the declarations page and endorsement,

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BUSINESS AUTO EXPOSURES AND COVERAGE

Copyright Sandi Kruise Insurance Training, 2003-2015, all rights reserved 4 BUSINESS AUTO BACKGROUND Almost every commercial venture has some exposure to automobile liability or physical damage

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TA-W51343: Supplemental Insurance Certificate

d. Do any of the policies on the attached ACORD 25 contain a Deductible (D) or Self-Insured Retention (SIR)? If "Yes", indicate the specific policy, whether D or SIR, its amount, and whether it is on a per claim, per

MA AUTO PROCESS GUIDE 09-01-11 - DNF

NGM will apply a 5% credit to applicable coverages for qualified operators. The discount applies to each rated operator that has been insured without a lapse in coverage under an auto policy for the previous 12

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