1/16/2024 0 Comments Insurance binder pdfAll rights 1 of 2 INSUREDDESCRIPTION OF OPERATIONS/VEHICLES/PROPERTY (Including Location)THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANYPER EXPIRING POLICY #: BINDER #COMPANYCODE:SUB CODE:THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS :01 AMNOONPHONE(A/C, No, Ext):FAX(A/C, No):AGENCYPMAMTIMEDATEEFFECTIVECUSTOMER ID:AGENCYINSURANCE BINDERDATE (MM/DD/ yyyy )LOAN #LOSS PAYEEADDITIONAL INSUREDMORTGAGEENAME & ADDRESSAUTHORIZED REPRESENTATIVECOVERAGESLIMITSAMOUNTCOINS %DEDUCTIBLECOVERAGE/FORMSTYPE OF INSURANCE $$$$$$$$UNINSURED MOTORISTPERSONAL INJURY PROTMEDICAL PAYMENTSPROPERTY DAMAGEBODILY INJURY (Per accident)BODILY INJURY (Per person)COMBINED SINGLE LIMITVEHICLE LIABILITYANY AUTOALL OWNED AUTOSSCHEDULED AUTOSHIRED AUTOSNON-OWNED AUTOSSCHEDULED VEHICLESALL VEHICLESACTUAL CASH VALUESTATED AMOUNT$VEHICLE PHYSICAL DAMAGEDEDCOLLISION:OTHER THAN COL:PROPERTYCAUSES OF LOSSBASICBROADSPECRETRO date FOR CLAIMS MADE:EACH OCCURRENCEDAMAGE TOMED EXP (Any one person)PERSONAL & ADV INJURYGENERAL AGGREGATEPRODUCTS - COMP/OP AGG$$$$$$RENTED PREMISESGENERAL LIABILITYCOMMERCIAL GENERAL LIABILITYCLAIMS MADEOCCUR$$$AGGREGATEEACH ACCIDENTOTHER THAN AUTO ONLY:AUTO ONLY - EAĪGENCY CUSTOMER ID: This Company binds the kind(s) of insurance stipulated on the reverse side. The ACORD name and logo are registered marks of ACORDACORD 75 (2010/04) 1993-2010 ACORD CORPORATION. Example: barber Search INSURANCE BINDER DATE (MM/DD/YYYY) - Morstan
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |