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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION OF OTHER ACTS OF TERRORISM COMMITTED OUTSIDE THE UNITED STATES EXCLUSION OF PUNITIVE DAMAGES RELATED TO A CERTIFIED ACT OF TERRORISM CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM Attached To and Forming Part of Policy Effective Date of Endorsemen...
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B. The following definitions are added 1. For the purposes of this endorsement any injury or damage means any injury or damage covered under any Policy to which this endorsement is applicable and includes but is not limited to bodily injury property damage personal and advertising injury personal injury injury or envir...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION EIFS EXTERIOR INSULATION AND FINISH SYSTEMS Named Insured Jared Ware Construction Effective Date of Endorsement 06102019 1201AM at the Named Insured address shown on the Declarations Return Prem 0 Attached To and Forming Part of Policy 01000396483...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION MEDICAL PAYMENTS Named Insured Jared Ware Construction Effective Date of Endorsement 06102019 1201AM at the Named Insured address shown on the Declarations Return Prem 0 Attached To and Forming Part of Policy 01000396483 This endorsement modifies ...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION NEW ENTITIES COMMERCIAL GENERAL LIABILITY Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100039648 3 06102019 1201AM at the Named Insured Jared Ware Construction address shown on the Declarations nal Premium Re...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION DEMOLITION Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100039648 3 06102019 1201AM at the Named Insured Jared Ware Construction address shown on the Declarations Additional Premium Return Premiu 0 0 This end...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION PRIOR WORK COMMERCIAL GENERAL LIABILITY Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100039648 3 06102019 1201AM at the Named Insured Jared Ware Construction address shown on the Declarations Additional Premi...
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iii. When that part of the work done at a job site has been put to its intended use by any person or organization other than another contractor or subcontractor working on the same project iv. The date the first notice of completion was filed on the first unit within a job site or v. The date escrow closed or title tra...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION NEW YORK Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100039648 3 06102019 1201AM at the Named Insured Jared Ware Construction address shown on the Declarations al Premium Return Premi 0 0 Addi This endorseme...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL POLICY EXCLUSIONS Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100039648 3 06102019 1201AM at the Named Insured Jared Ware Construction address shown on the Declarations Additional Premium Return Premiu 0 0 ...
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continues or takes place in the case of repeated exposure to the substantially the same general harm or condition during the policy period of this policy. DISCRIMINATION EXCLUSION This insurance does not apply to any claim or suit for bodily injury property damage or personal and advertising injury or other injury or d...
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c. Anagentofa.orb. above it being understood that any discharge explosion or use of any weapon of war employing nuclear fission or fusion or biological chemical or radiological discharge shall be conclusively presumed to be such hostile or warlike action by such a government power authority or forces. 2. Insurrection r...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION UNDERGROUND FACILITY Named Insured Jared Ware Construction Effective Date of Endorsement 06102019 1201AM at the Named Insured address shown on the Declarations Return Prem 0 Attached To and Forming Part of Policy 01000396483 This endorsement modif...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION INJURY TO INDEPENDENT CONTRACTORS Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100039648 3 06102019 1201AM at the Named Insured Jared Ware Construction address shown on the Declarations al Premium Return Prem...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION WRAP UPS Named Insured Jared Ware Construction Effective Date of Endorsement 06102019 1201AM at the Named Insured address shown on the Declarations Return Prem 0 Attached To and Forming Part of Policy 01000396483 This endorsement modifies insuranc...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION COLORADO Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100039648 3 06102019 1201AM at the Named Insured Jared Ware Construction address shown on the Declarations al Premium Return Prem 0 S0 Addi This endorseme...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION NAMED INSURED VS. NAMED INSURED Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100039648 3 06102019 1201AM at the Named Insured Jared Ware Construction address shown on the Declarations al Premium Return Prem 0...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION WEST VIRGINIA Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100039648 3 06102019 1201AM at the Named Insured Jared Ware Construction address shown on the Declarations al Premium Return Prem 0 S0 Addi This endo...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION AND DATA RELATED LIABILITY GENERAL LIABILITY Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100039648 3 06102019 1201AM at the Named Insured Jared Wa...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION HIGHWAY OR BRIDGE WORK Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100039648 3 06102019 1201AM at the Named Insured Jared Ware Construction address shown on the Declarations al Premium. Return Prem 50 0 Addi...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION VIOLATION OF STATUTES THAT GOVERN E MAILS FAX PHONE CALLS OR OTHER METHODS OF SENDING MATERIAL OR INFORMATION Attached To and Forming Part of Policy 01000396483 Effective Date of Endorsement 06102019 1201AM at the Named Insured address shown on th...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION TRACT HOUSING OF GREATER THAN TWENTY UNITS ALL RESIDENTIAL CONDOMINIUMS TOWNHOMES TIMESHARES Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100039648 3 06102019 1201AM at the Named Insured Jared Ware Constructi...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION MOBILE EQUIPMENT SUBJECT TO MOTOR VEHICLE INSURANCE LAW Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100039648 3 06102019 1201AM at the Named Insured Jared Ware Construction address shown on the Declarations ...
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SECTION V DEFINITIONS the definition of Mobile equipment is deleted and replaced by following Mobile equipment means any of the following types of land vehicles including any attached machinery or equipment a. Bulldozers farm machinery forklifts and other vehicles designed for use principally off public roads b. Vehicl...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FUNGI OR BACTERIA EXCLUSION Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100039648 3 06102019 1201AM at the Named Insured Jared Ware Construction address shown on the Declarations Additional Premium Return Premiuj 50 S...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON CONTRIBUTORY ENDORSEMENT Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100039648 3 06102019 1201AM at the Named Insured Jared Ware Construction address shown on the Declarations Additi...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION Attached To and Forming Part of Policy 0100039648 3 Effective Date of Endorsement 06102019 1201AM at the Named Insured address shown on the Declarations Named Insured Jared Wa...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS Named Insured Jared Ware Construction Attached To and Forming Part of Policy Effective Date of Endorsement 0100039648 3 06102019 1201AM at the Named Insured address shown on the Declarati...
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NOTICE OF TERRORISM INSURANCE COVERAGE You are hereby notified that under the federal Terrorism Risk Insurance Act as amended the Act the Company must make available insurance coverage for losses arising out of acts of terrorism as defined in Section 1021 of the Act. This policy includes such coverage for damages arisi...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT BROAD FORM Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100039648 3 06102019 1201AM at the Named Insured Jared Ware Construction address shown on the Declarations al Premi...
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2. As used in this endorsement Hazardous properties includes radioactive toxic or explosive properties. Nuclear material means source material special nuclear material or by product material. Source material special nuclear material and by product material have the meanings given them in the Atomic Energy Act of 1954 o...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT Named Insured Jared Ware Construction Attached To and Forming Part of Policy 01000396483 Effective Date of Endorsement 06102019 1201AM at the Named Insured address shown on the Declarations al Premium Retu...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SIGNATURE ENDORSEMENT Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100039648 3 06102019 1201AM at the Named Insured Jared Ware Construction address shown on the Declarations Additional Premium Return Premiu 0 0 This en...
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U.S. TREASURY DEPARTMENT S OFFICE OF FOREIGN ASSETS CONTROL OFAC ADVISORY NOTICE TO POLICYHOLDERS This Notice shall not be construed as part of your policy and no coverage is provided by this Notice nor can it be construed to replace any provisions of your policy. You should read your policy and review your Declaration...
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SAFETY NATIONAL CASUALTY CORPORATION PRIVACY STATEMENT Our Commitment To Our Customers Safety National Casualty Corporation Safety National is proud to have provided quality products and services to its customers for over 50 years. We greatly appreciate the trust that you and all of our customers place in us. We protec...
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SAFETY NATIONAL CASUALTY CORPORATION 1832 Schuetz Road St. Louis MO 63146 888 995 5300 A STOCK COMPANY COMMERCIAL POLICY o SECRETARY Q Mif A m. PRESIDENT THESE POLICY PROVISIONS WITH THE DECLARATIONS PAGE COVERAGE FORM AND ENDORSEMENTS IF ANY COMPLETE THIS POLICY. CP 990303 14
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COMMERCIAL GENERAL LIABILITY DECLARATIONS SAFETY NATIONAL CASUALTY CORP ggvgAFLOEnNEERtAr gPS ST. LOUIS MO 63146 888 995 5300 Policy Number From Policy Period To GL 4056109 01012019 01012020 1201 AM. Standard Time at the described location Previous Policy Number GL 4056109 Transaction ATLANTA GA 30328 Renewal Named Ins...
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SAFETY NATIONAL CASUALTY CORP ST.LOUIS MO 63146 888 995 5300 COMMERCIAL GENERAL LIABILITY DECLARATIONS Policy Number GL 4056109 Named Insured FIRST DATA CORPORATION Agent WILLIS INSURANCE SERVICES OF GEORGIA INC. Effective Date 01012019 ALL PREMISES YOU OWN RENT OR OCCUPY LOCATION NUMBER ADDRESS OF ALL PREMISES YOU OWN...
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SCHEDULE OF SURCHARGES SAFETY NATIONAL CASUALTY CORP From igflfg GL 4056109 01012019 01012020 888 995 5300 Policy Number Policy PTeoriod 1201 AM. Standard Time at the described location Named Insured and Address Agent FIRST DATA CORPORATION WILLIS INSURANCE SERVICES OF GEORGIA INC. 5565 GLENRIDGE CONNECTOR NE 5 CONCOUR...
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SCHEDULE OF FORMS AND ENDORSEMENTS SAFETY NATIONAL CASUALTY CORP Policy Number Policy Period ST.LOUIS MO 63146 From To 888 995 5300 GL 4056109 01012019 01012020 1201 AM. Standard Time at the described location Named Insured and Address Agent FIRST DATA CORPORATION WILLIS INSURANCE SERVICES OF GEORGIA INC. 5565 GLENRIDG...
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SAFETY NATIONAL CASUALTY CORP ST. LOUIS MO 63146 888 995 5300 SCHEDULE OF FORMS AND ENDORSEMENTS location Policy Period Policy Number From To GL 4056109 01012019 01012020 1201 AM. Standard Time at the described Named Insured and Address Agent FIRST DATA CORPORATION 5565 GLENRIDGE CONNECTOR NE ATLANTA GA 30342 WILLIS IN...
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SCHEDULE OF FORMS AND ENDORSEMENTS SAFETY NATIONAL CASUALTY CORP Policy Number Policy Period ST.LOUIS MO 63146 From To 888 995 5300 GL 4056109 01012019 01012020 location Named Insured and Address Agent FIRST DATA CORPORATION 5565 GLENRIDGE CONNECTOR NE 5 CONCOURSE PARKWAY 18TH FLOOR ATLANTA GA 30342 ATLANTA GA 30328 Te...
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SCHEDULE OF FORMS AND ENDORSEMENTS ST.LOUIS MO 63146 888 995 5300 SAFETY NATIONAL CASUALTY CORP Policy Number 110 Folicy Period GL 4056109 01012019 01012020 location Named Insured and Address Agent FIRST DATA CORPORATION 5565 GLENRIDGE CONNECTOR NE 5 CONCOURSE PARKWAY 18TH FLOOR ATLANTA GA 30342 ATLANTA GA 30328 Teleph...
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SCHEDULE OF FORMS AND ENDORSEMENTS SAFETY NATIONAL CASUALTY CORP Policy Number 5 Policy Period ST.LOUIS MO 63146 rom iIo 888 995 5300 GL 4056109 01012019 01012020 1201 AM. Standard Time at the described location Named Insured and Address Agent FIRST DATA CORPORATION WILLIS INSURANCE SERVICES OF GEORGIA INC. 5565 GLENRI...
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SCHEDULE OF FORMS AND ENDORSEMENTS SAFETY NATIONAL CASUALTY CORP Policy Number 5 Policy PTeriod ST.LOUIS MO 63146 rom o 888 995 5300 GL 4056109 01012019 01012020 1201 AM. Standard Time at the described location Named Insured and Address Agent FIRST DATA CORPORATION 5565 GLENRIDGE CONNECTOR NE ATLANTA GA 30342 5 CONCOUR...
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IL N 001 09 03 FRAUD STATEMENT Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly pre sents false information in an application for insurance is guilty of a crime and may be subject to fines and con finement in prison. 1SO Properties Inc. 2003 Page 1 of 1 IL N 00...
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IL P 001 01 04 U.S. TREASURY DEPARTMENT S OFFICE OF FOREIGN ASSETS CONTROL OFAC ADVISORY NOTICE TO POLICYHOLDERS No coverage is provided by this Policyholder Notice nor can it be construed to replace any provisions of your policy. You should read your policy and review your Declarations page for complete information on...
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ILN 0130213 ALABAMA FRAUD STATEMENT Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or who knowingly presents false information in an application for insurance is guilty of a crime and may be subject to restitution fines or confinement in prison or any combination thereof....
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ILN 01209 03 ALASKA FRAUD STATEMENT A person who knowingly and with intent to injure defraud or deceive an insurance company files a claim contain ing false incomplete or misleading information may be prosecuted under state law. 1SO Properties Inc. 2003 Page 1 of 1 ILN 01209 03
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IL N 01409 03 ARIZONA FRAUD STATEMENT For your protection Arizona law requires the following statement to appear on this form. Any person who knowingly presents a false or fraudulent claim for payment of a loss is subject to criminal and civil penalties. 1SO Properties Inc. 2003 Page 1 of 1 IL N 01409 03
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IL N 016 09 03 ARKANSAS FRAUD STATEMENT Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and con finement in prison. 1SO Properties Inc. 2003 Page 1 of 1...
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SNIL PN 00103 Ed. 11 09 ARKANSAS POLICYHOLDER NOTICE As our Insured your satisfaction is very important to us. If you have a question about your policy or if you need assistance with a problem please contact your insurance agent or us. You may reach your insurance agent or broker at Name of Agent WILLIS INSURANCE SERVI...
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ILN 018 09 03 CALIFORNIA FRAUD STATEMENT For your protection California law requires that you be made aware of the following Any person who knowingly presents false or fraudulent claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison. 1SO Properties Inc. 2003 Pa...
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IL N 020 09 03 COLORADO FRAUD STATEMENT It is unlawful to knowingly provide false incomplete or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment fines denial of insurance and civil damages. Any insurance compan...
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SNGL PN 001 06 06 13 CONNECTICUT ADVISORY NOTICE TO POLICYHOLDERS This Notice does NOT form a part of your insurance contract. The Notice is designed to alert you to changes due to the inclusion of a Deductible Liability Endorsement on your policy. If there is any conflict between this Notice and the policy including i...
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IL N 026 06 09 DISTRICT OF COLUMBIA FRAUD STATEMENT WARNING It is a crime to provide false or misleading information to an insurer for the purpose of defrauding the insurer or any other person. Penalties include imprisonment andor fines. In addition an insurer may deny insur ance benefits if false information materiall...
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SNIL PN 001 08 0609 DISTRICT OF COLUMBIA WAIVER OF PREMIUM DISCLOSURE NOTICE The following paragraph is provided per the District of Columbia Code 31 2406 2. Waiver Of Premium We will waive return premium amounts of 15.00 or less. However any return premium requested by you the insured must be granted by us despite the...
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SNIL PN 001 09 Ed. 05 09 IMPORTANT NOTICE To obtain general information or for complaint resolution You may call safety National Casualty Corporation s toll free telephone number for general information or to resolve a complaint 1 888 995 5300 You may also write to Safety National Casualty Corporation Safety National C...
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IL N 034 08 09 HAWAII FRAUD STATEMENT Intentionally or knowingly misrepresenting or concealing a material fact opinion or intention to obtain coverage benefits recovery or compensation when presenting an application for the issuance or renewal of an insurance policy or when presenting a claim for the payment of a loss ...
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IL N 036 09 03 IDAHO FRAUD STATEMENT Any person who knowingly and with intent to defraud or deceive any insurance company files a statement of claim containing any false incomplete or misleading information is guilty of a felony. 1SO Properties Inc. 2003 Page 1 of 1 IL N 036 09 03
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PN 1199 01 Ed. 10 13 IDAHO POLICYHOLDER NOTICE As our Insured your satisfaction is very important to us. If you have a question about your policy or if you need assistance with a problem please contact your insurance agent or us. You may reach your insurance agent or broker at Name of Agent WILLIS INSURANCE SERVICES OF...
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SNGL PN 018A 12 1109 ILLINOIS ACKNOWLEDGMENT BY POLICYHOLDER RE Policy Number cL 4056109 Named Insured FIRST DATA CORPORATION As an authorized representative of the Insured acknowledge that the attachment of the endorsement tited DEDUCTIBLE LIABILITY COVERAGE Allocated Loss Adjustment Expenses Within Deductible Paid by...
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ILN17511 11 ILLINOIS NOTICE TO POLICYHOLDERS REGARDING THE RELIGIOUS FREEDOM PROTECTION AND CIVIL UNION ACT Dear Policyholder This is to provide notice that pursuant to lllinois Department of Insurance Company Bulletin 2011 06 CB 2011 06 this policy is in compliance with the lllinois Religious Freedom Protection and Ci...
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IL N 040 09 03 INDIANA FRAUD STATEMENT Any person who knowingly and with intent to defraud an insurer files a statement of claim containing any false incomplete or misleading information commits a felony. 1SO Properties Inc. 2003 Page 1 of 1 IL N 040 09 03
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POLICY NUMBER GL 4056109 R GL 4056109 IL N 120 10 05 INDIANA NOTICE TO POLICYHOLDERS REGARDING FILING COMPLAINTS WITH THE DEPARTMENT OF INSURANCE Questions regarding your policy or coverage should be directed to Company Name Safety National Casualty Corporation Contact Number 1 888 995 5300 If you a Need the assistance...
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IL N 043 01 16 KANSAS FRAUD STATEMENT Any person who commits a fraudulent insurance act is guilty of a crime and may be subject to restitution fines and confinement in prison. A fraudulent insurance act means an act committed by any person who knowingly and with intent to defraud presents causes to be presented or prep...
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IL N 048 09 03 LOUISIANA FRAUD STATEMENT Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and con finement in prison. 1SO Properties Inc. 2003 Page 1 of ...
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IL N 050 09 03 MAINE FRAUD STATEMENT Itis a crime to knowingly provide false incomplete or misleading information to an insurance company for the pur pose of defrauding the company. Penalties may include imprisonment fines or a denial of insurance benefits. 1SO Properties Inc. 2003 Page 1 of 1 IL N 050 09 03
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ILN 167 01 13 MARYLAND FRAUD STATEMENT Any person who knowingly or willfully presents a false or fraudulent claim for payment of a loss or benefit or who knowingly or willfully presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison. Insuranc...
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SNIL PN 001 21 0411 MICHIGAN DISCLOSURE NOTICE FOR EXEMPT COMMERCIAL POLICYHOLDER This policy is exempt from the filing requirements of section 2236 of the insurance code of 1956 1956 PA 218 MCL 500.2236. SNIL PN 001 21 0411 Page 1 of 1
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IL N 058 09 03 MINNESOTA FRAUD STATEMENT Any person who files a claim with intent to defraud or helps commit a fraud against an insurer is guilty of a crime. 1SO Properties Inc. 2003 Page 1 of 1 IL N 058 09 03
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IL N 070 09 03 NEW HAMPSHIRE FRAUD STATEMENT Any person who with a purpose to injure defraud or deceive any insurance company files a statement of claim containing any false incomplete or misleading information is subject to prosecution and punishment for insurance fraud as provided in RSA 63820. 1SO Properties Inc. 20...
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IL N 072 03 04 NEW JERSEY FRAUD STATEMENT APPLICATION Any person who includes any false or misleading information on an application for an insurance policy is subject to criminal and civil penalties. 1SO Properties Inc. 2004 Page 1 of 1 IL N 072 03 04
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IL N 073 03 04 NEW JERSEY FRAUD STATEMENT CLAIM FORM Any person who knowingly files a statement of claim containing any false or misleading information is subject to criminal and civil penalties. 1SO Properties Inc. 2004 Page 1 of 1 IL N 073 03 04
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IL N 074 09 03 NEW MEXICO FRAUD STATEMENT ANY PERSON WHO KNOWINGLY PRESENTS A FALSE OR FRAUDULENT CLAIM FOR PAYMENT OF A LOSS OR BENEFIT OR KNOWINGLY PRESENTS FALSE INFORMATION IN AN APPLICATION FOR INSUR ANCE IS GUILTY OF A CRIME AND MAY BE SUBJECT TO CIVIL FINES AND CRIMINAL PENALTIES. 1SO Properties Inc. 2003 Page 1...
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SNGL PN 001 31 0210 NEW YORK ADVISORY NOTICE TO POLICYHOLDERS If your policy is endorsed with the following endorsement please note the following in regard to application of the deductible provisions to Allocated Loss Adjustment Expenses SNGL 018B 31 1209 New York Deductible Liability Coverage Allocated Loss Adjustment...
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IL N 084 09 03 OKLAHOMA FRAUD STATEMENT WARNING Any person who knowingly and with intent to injure defraud or deceive any insurer makes any claim for the proceeds of an insurance policy containing any false incomplete or misleading information is guilty of a felony. 1SO Properties Inc. 2003 Page 1 of 1 IL N 084 09 03
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IL 0179 10 02 OKLAHOMA NOTICE The following statement is added to the policy WARNING Any person who knowingly and with intent to injure defraud or deceive any insurer makes any claim for the proceeds of an insurance policy containing any false incomplete or misleading information is guilty of a felony. 1SO Properties I...
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IL N 08502 11 OREGON FRAUD STATEMENT Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents materially false information in an application for insurance may be guilty of a crime and may be subject to fines and confinement in prison. In order for us to deny a...
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IL N 088 09 03 PENNSYLVANIA FRAUD STATEMENT Any person who knowingly and with intent to defraud any insurance company or other 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 fact material th...
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IL 09 10 07 02 ILU9 1007 02 PENNSYLVANIA NOTICE An Insurance Company its agents employees or service contractors acting on its behalf may provide services to reduce the likelihood of injury death or loss. These services may include any of the following or related services incident to the ap plication for issuance renew...
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IL P 006 11 05 RHODE ISLAND NOTICE TO POLICYHOLDERS CONCERNING AVAILABILITY OF LEAD LIABILITY COVERAGE This policy does not provide lead liability coverage. You may be eli gible for lead liability coverage through the FAIR Plan. The FAIR Plan s address and telephone numbers are FAIR Plan Two Center Place Boston MA 0210...
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SNIL PN 004 42 Ed. 09 09 IMPORTANT NOTICE TO POLICYHOLDER. PLEASE READ IT CAREFULLY. SPECIAL TEXAS NOTICE NOTIFICATION OF THE AVAILABILITY OF LOSS CONTROL INFORMATION SERVICES In an effort to help prevent and reduce potential claims and losses Safety National is committed to providing loss control information and servi...
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IL N 098 09 03 TENNESSEE FRAUD STATEMENT Itis a crime to knowingly provide false incomplete or misleading information to an insurance company for the pur pose of defrauding the company. Penalties include imprisonment fines and denial of insurance benefits. 1SO Properties Inc. 2003 Page 1 of 1 IL N 098 09 03
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SNIL PN 003 42 Ed. 06 10 EXCLUSION ASBESTOS ADVISORY NOTICE TO POLICYHOLDERS This Notice does NOT form a part of your insurance contract. The Notice is designed to alert you to coverage changes when the exclusion for silica or silica related dust is attached to this policy. If there is any conflict between this Notice ...
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SNIL PN 002 42 Ed. 04 09 EXCLUSION LEAD CONTAMINATION ADVISORY NOTICE TO POLICYHOLDERS This Notice does NOT form a part of your insurance contract. The Notice is designed to alert you to coverage changes when the exclusion for silica or silica related dust is attached to this policy. If there is any conflict between th...
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SNIL PN 001 42 Ed. 01 13 IMPORTANT NOTICE To obtain information or make a complaint You may call safety National Casualty Corporation s toll free telephone number for information or to make a complaint at 1 888 995 5300 You may also write to Safety National Casualty Corporation at Safety National Casualty Corporation 1...
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IL N 106 09 03 VIRGINIA FRAUD STATEMENT Itis a crime to knowingly provide false incomplete or misleading information to an insurance company for the pur pose of defrauding the company. Penalties include imprisonment fines and denial of insurance benefits. 1SO Properties Inc. 2003 Page 1 of 1 IL N 106 09 03
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COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED CLUB MEMBERS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART. WHO IS AN INSURED Section Il is amended to include as an insured any of your members bu...
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POLICY NUMBER GL 4056109 POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG 20050413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED CONTROLLING INTEREST This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED...
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POLICY NUMBER GL 4056109 POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG 20260413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHED...
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POLICY NUMBER GL 4056109 POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG20110413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Designat...
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POLICY NUMBER GL 4056109 POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG 20370413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY CO...
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POLICY NUMBER GL 4056109 POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL L...
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C. With respect to the insurance afforded to these additional insureds the following is added to Section lll Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the co...
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POLICY NUMBER GL 4056109 POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG20150413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED VENDORS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LI...
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. Bodily Any failure to make such inspections adjustments tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business in connection with the distribution or sale of the products Demonstration installation servicing or repair operations except such operations perfor...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ALIENATED PREMISES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM CHANGE The following is deleted in its entirety SECTION COVERAGE COVERAGE A ...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDED DEFINITION OF BODILY INJURY This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTE...
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ASBESTOS EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART CHANGE This insurance does not apply to bodily injury or property damage arising out of 1 The inhalation ingestion or prolonged ph...
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