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Coalition Insurance Solutions Canada Inc. 1600-925 Georgia Street West Vancouver, BC V6C 3L2 Producer Code: 1043474PAGE 1 OF 3 CYBCAN 0002 0420GENERAL INFORMATION NAMED INSURED WEBSITE DOMAIN(S) ADDRESS CITY PROVINCE ZIP INDUSTRY NUMBER OF EMPLOYEES REVENUE expected over next 12 months GROSS PROFIT / NET REVENUE expect... | coalition copy.pdf |
Coalition Insurance Solutions Canada Inc. 1600-925 Georgia Street West Vancouver, BC V6C 3L2 Producer Code: 1043474PAGE 2 OF 3 CYBCAN 0002 04201Please describe the company's use of technology in delivering its product and/or services. 2Within the last 3 years has Named Insured been subject to a dispute or claim arising... | coalition copy.pdf |
Coalition Insurance Solutions Canada Inc. 1600-925 Georgia Street West Vancouver, BC V6C 3L2 Producer Code: 1043474PAGE 3 OF 3 CYBCAN 0002 0420THE UNDERSIGNED AUTHORIZED REPRESENTATIVE OF THE APPLICANT DECLARES (1) THIS APPLICATION FORM HAS BEEN COMPLETED AFTER REASONABLE INQUIRY, (2) THE STATEMENTS SET FORTH HEREIN AR... | coalition copy.pdf |
Certificate of Certificate of Completion Completion | coalition copy.pdf |
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