Acord 126
Found 4 free book(s)
COMMERCIAL INSURANCE APPLICATION DATE …
commund.comacord 126 (2007/05) page 3 of 4. explain all "yes" responses (for all past or present operations) y / n any person who knowingly and with intent to defraud any insurance company or another person files an application for insurance or
AGENCY CUSTOMER ID: COMMERCIAL GENERAL LIABILITY …
www.mcneilandcompany.comacord 126 (2011/09) page 2 of 4 agency customer id: contractors time staff: # part-time staff: # full-subcontracted: % of work contractors: describe the type of work subcontracted $ paid to sub-6. does applicant lease equipment to others with or without operators? 5. are subcontractors allowed to work without providing you with a certificate of ...
ACORD COMMERCIAL GENERAL LIABILITY SECTION DATE
bsrinsurance.comACORD 126 (2000/04) PLEASE COMPLETE REVERSE SIDE ACORD CORPORATION 1993. CONTRACTORS EXPLAIN ALL "YES" RESPONSES (For past or present operations) YES NO EXPLAIN ALL "YES" RESPONSES (For past or present operations) YES NO FOR OTHERS? 1. DOES APPLICANT DRAW PLANS, DESIGNS, OR SPECIFICATIONS
COMMERCIAL INSURANCE APPLICATION DATE …
www.evergreenins.comthe acord name and logo are registered marks of acord applicant information underwriter underwriter office commercial insurance application date (mm/dd/yyyy) applicant information section fax (a/c, no): agency name: contact (a/c, no, ext): phone code: subcode: agency customer id: …