COMMERCIAL INSURANCE APPLICATION DATE …
applicant information section commercial insurance application date (mm/dd/yyyy) underwriter underwriter office applicant information the acord name and logo are registered marks of acord ... coverages schedule additional premises apartment building supplement contractors supplement
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CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
www.colonialgeneral.comany proprietor/partner/executive officer/member excluded? insr ltr date (mm/dd/yyyy) insured policy effective date (mm/dd/yy) policy expiration type of insurance policy number date (mm/dd/yy) limits general liability automobile liability garage liability excess/umbrella liability workers compensation and employers' liability other
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
PROPERTY SECTION DATE (MM/DD/YYYY)
www.colonialgeneral.commine 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 forms and conditions to apply # reference / loan #: name and address rank: evidence: certificate additional interest acord 45 attached for additional ...
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