Search results with tag "Named insured"
So Your Client Wants to be an Additional Insured
www.oswaldcompanies.comagainst itself. Many PL policies have an "insured vs. insured" exclusion that prohibits one named in-sured from filing a claim against another named insured. Third, if a client who is an additional insured files a claim against the design firm, there is an immedi-ate conflict of interest.
1. Property & Casualty Insurance Basics
protrain.hs.llnwd.netThe person or entity that is listed first on the declarations page is referred to as the first named insured. The first named insured is the primary insured and holds the highest rank among all insureds and has broader rights and obligations under the contract than any other insured.
AGENT/BROKER OF RECORD CHANGE - First Choice Insurance ...
www.firstchoiceii.cominsured's signature date title (if applicable) company name (if applicable) fax (a/c, no): phone (a/c, no, ext): address: e-mail ... policy number(s) effective date expiration date named insured line of business (as it appears on policy) city of insured state of insured zip code of insured street address of insured. acord@ created date: 5/23 ...
SAMPLE ACORD-855 - NYS Construction Certificate of ...
ogs.ny.govK. Insured vs. insured suits (cross liability in the ISO CGL policy) are excluded or restricted (other than named insured vs. named insured) Yes and no other option is available with this insurer No changes made J. Earth movement, excavation or explosion / collapse / underground property damage is excluded or restricted (GL policy)
Tipsheet 7 Insurance Clauses – Named Insured vs Interested ...
www.avoca.com.auTipsheet 7. Insurance Clauses – Named : Insured vs Interested Party. Updated September 2010 “Named insured”, “interested party” or “noted” on the policy - What are the
Waiver of Subrogation and Additional Insured’s
www.insuranceinstitute.caA named insured's impetus for providing additional insured status to others may be a desire to protect the other party because of a close relationship with that party (e.g., wanting to protect church members performing services for the insured church) or to comply with a contractual
DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY …
www.wbgllp.comYes and no other option is available with this insurer No changes made GL policy (including endorsements) does not cover the additional insured for claims involving injury to employees of the named insured or
AGENT/BROKER OF RECORD CHANGE - First Benefits …
www.firstbenefits.orgNAMED INSURED LINE OF BUSINESS (AS IT APPEARS ON POLICY) Please be advised that we wish to name as our exclusive representative effective for the lines of business shown above, currently in force or submitted by application. PRODUCER CODE # DATE INSURED'S SIGNATURE DATE This authorization replaces any other authorization that may have been
Application for Change of Beneficiary
content.mutualofomaha.comInsured named above all proceeds of the Policy and/or rider(s) covering the Insured be paid to the beneficiary(ies) as shown above. X _____ X _____ Signature of Policyowner Date Signature of all current Irrevocable Primary Beneficiary(ies) ...
THE RIGHTS AND DUTIES OF MORTGAGEES AND LIEN …
www.rolfeshenry.comthe named insured, unless circumstances clearly warrant otherwise. If the insurance company has named all parties on the check, and those parties still cannot agree who has rights to the proceeds, the insurer has several options. First, the insurer may issue -5-
CERTIFICATE OF INSURANCE INSURED - School counselor
www.schoolcounselor.orgThis is to certify that the policy of insurance listed below has been issued to the insured named above for the policy period indicated, notwithstanding any requirement, term, or condition of any contract or other documents with the respect to which …
AGENT/BROKER OF RECORD CHANGE DATE (MM/DD/YYYY) …
www.crvinsurance.comNAMED INSURED EFFECTIVE EXPIRATION LINE OF BUSINESS POLICY NUMBER(S) (AS IT APPEARS ON POLICY) DATE DATE Please be advised that we wish to name PRODUCER as our exclusive representative effective CODE # DATE for the lines of business shown above, currently in force or submitted by application.
AGENCY CUSTOMER ID: PROPERTY SECTION DATE …
www.providerrisk.comapplicant (first named insured) effective date expiration date payment plan audit agency bill direct bill for company use only agency customer id: page 2 of 2 any person who knowingly and with intent to defraud any insurance company or another person files an application for insurance or
COMMERCIAL INSURANCE APPLICATION DATE …
www.gatewayspecialty.comper claim per occurrence date (mm/dd/yyyy) agency phone applicant (a/c, no, ext): fax (first (a/c, no): named insured) effective date expiration date payment plan audit
HOME HEALTH INTAKE AND REFERRAL FORM
adph.orgName of policy holder/named insured: _____ Relationship to patient: _____ _____ No. 5. If you have GHP coverage based on your spouse’s current employment, does your spouse’s ... coordination period starts the first day of the month an individual is eligible for Medicare (even if
ACORD 0080 2013-09
www.hpiainfo.comnamed insured(s) policy number effective date expiration date carrier naic code plan facility code date at current residence: phone # home bus cell primary phone # secondary home bus cell co-applicant's name (first, middle, last) co-applicant's address primary e-mail address: secondary e-mail address:
NAMED INSURED VS INTERESTED PARTY. - …
www.bernielewis.com.auCONTRACTUAL LIABILITY FACT SHEET: NAMED INSURED PAGE 1 of 3 NAMED INSURED VS INTERESTED PARTY. What difference does it make if someone is ‘named’ on your policy?
NAMED INSURED: EXPIRING POLICY NUMBER: …
apps.bhhc.comTRUCKING AUTO RENEWAL QUESTIONNAIRE ARQ_TRUCKING 10 13 Page 1 of 1 NAMED INSURED: EXPIRING POLICY NUMBER: RENEWAL DATE: The applicant’s representative acknowledges that he/she has advised the insured and the insured agrees that if the foregoing statements and answers are materially false,
NAMED INSURED ( Note: ALL NAMED INSUREDS …
brokers.coastalagentsalliance.comPROPERTY APPLICATION Coastal Agents Alliance, LLC (A Division of Orchid Underwriters Agency, LLC) 8025 Black Horse Pike, …
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