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DATE (MM/DD/YYYY) PROPERTY LOSS NOTICE AGENCY INSURED LOCATION CODE DATE OF LOSS AND TIME AM PM PROPERTY / HOME POLICY CARRIER CONTACT NAME:
I further agree that the vehicle(s) to be insured shall not be driven by any person who to my knowledge has been refused motor vehicle insurance or continuance thereof.
Cover Type Summary of covers (See relevant Section for details, relevant limits, and specific conditions and exclusions that apply) Section One – Material Loss or Damage Insurance This covers You for Damage to Property Insured at the Situation which is not otherwise excluded and provides a number of automatic additional benefits and optional benefits.
Self Insurance options (http://www.selfinsurancemarket.com/articles/view/20005/insurance-risks-that-can-be-self-insured) allow a company to take responsibility for some low-level risks.
At any time before the insured attains age 65, the life insurance policy may be converted to any level premium permanent plan the company offers, without any evidence of insurability required and for an amount up to the face amount of the original policy.
If an insured person has multiple losses as the result of one accident, the policy will only pay the single largest benefit amount applicable.
CHILD REGISTRATION Patient Name: _____________________________________________________________________ FIRST Date of Birth:
August 9, 2016 Internal Revenue Service P.O.
insurer, in return for a consideration, the premium, undertakes to pay to the other party, the insured, a sum of money or its equivalent in kind upon the happening of a specified event that is contrary to the interest of the insured.
PATIENT REGISTRATION Patient Name: _____________________________________________________________________ FIRST MI Sex:
In the event that a covered loss forces you from your home loss of rent provides a safety net for additional expenses over and above your normal living expenses while you are unable to live in your home—up to the sum insured.
CONTRACTORS' 'ALL RISKS ' INSURANCE (CAR) 1.1 Insured Property The permanent and temporary works, materials, goods, plant and equipment for incorporation in the Works (other than constructional plant, tools, accommodation and equipment belonging to or the responsibility of the Construction Sub-Contractor or the Construction Sub-Contractor's subcontractors) and all other property used or for use in connection with works associated with the Project.
The reduced rate for an Owner's Policy issued on a property which was previously insured within some period of years.