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(If "YES", attach ACORD 815 for Liability Exposure and/or ACORD 816 for Property Exposure) 12. AGENCY CUSTOMER ID: ACORD 125 (2016/03) Page 3 of 4 OCCUR DATE EXPLANATION RESOLUTION RESOLVE DATE OCCUR DATE EXPLANATION RESOLUTION RESOLVE DATE 14. DOES APPLICANT OWN / LEASE / OPERATE ANY DRONES? (If "YES", describe use) 15.
GLASS AND SIGN ACCOUNTS RECEIVABLE/ VALUABLE PAPERS C RIME/MISCELLANEOUS CRIME TRANSPORTATION/ MOTOR TRUCK CARGO. FAX (A/C, No): EQUIPMENT FLOATER. INSTALLATION/BUILDERS RISK. ELECTRONIC DATA PROC COMMERCIAL GENERAL LIABILITY B USINESS AUTO. TRUCKERS/MOTOR CARRIER. GARAGE AND DEALERS.
ACORD 125 (2009/08) PRIMARY PHONE # SECONDARY PHONE # PRIMARY PHONE # SECONDARY PHONE # ADDITIONAL INTEREST (Not all fields apply to all scenarios - provide only the necessary data) Attach ACORD 45 for more Additional Interests TENANT OWNER OUTSIDE INSIDE # FULL TIME EMPL # PART TIME EMPL STREET CITY: COUNTY: STATE: ZIP: DESCRIPTION OF ...
Sep 1, 2023 · The ACORD 126 form serves three purposes; to collect, verify, and update information pertinent to your commercial general liability insurance policy.
Understand the best practices related to completing Acord forms 125 & 126. Master this skill so you can send in quality submissions and receive timely & comp...
ACORD 126 (2007/05) Page 3 of 4 ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR ANOTHER PERSON FILES AN APPLICATION FOR INSURANCE OR STATEMENT OF CLAIM CONTAINING ANY MATERIALLY FALSE INFORMATION, OR CONCEALS FOR THE PURPOSE OF MISLEADING INFORMATION CONCERNING ANY
ACORD 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
