acord 125 126 140

The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Acord form 125 126 and 140. ACORD 125 (2014/12) Applicable in OR: Any person who knowingly and with intent to defraud or solicit another to defraud the insurer by submitting an application containing a false statement as to any material fact may be violating state law. Related to acord form 125 126 and 140 fillable acord 25 CONTACT NAME PHONE A/C No Ext E-MAIL ADDRESS PRODUCER FAX A/C No INSURER S AFFORDING COVERAGE NAIC INSURER A INSURED COVERAGES CERTIFICATE NUMBER REVISION cg2010 POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. Available for PC, iOS and Android.

PLEASE READ IT CAREFULLY. acord 140 (2011/10) 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-125-Fillable . The ACORD name and logo are registered marks of ACORD ACORD 140 (2016/03) BLDG DESCRIPTION: PREMISES #: STREET ADDRESS: PREMISES INFORMATIONBUILDING #: PROPERTY SECTION DATE (MM/DD/YYYY) LENDER'S LOSS PAYABLE Attach to ACORD 125. ACORD Acord 125 Commercial Insurance Application Acord 126 Commercial General Liability Section Acord 127 Business Auto Section Acord 128 Garages and Dealers Section Acord 130 Workers’ Compensation Application Acord 131 Umbrella/Excess Section Acord 137 MA Commercial Auto Section Acord 140 Property Section Acord 144 Glass and Sign Supplement Acord 146 Equipment Floater Section Acord … Fill out, securely sign, print or email your Acord Commercial Application 125 126 140 - JLNY Group instantly with SignNow. REMARKS (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) MINE SUBSIDENCE COVERAGE … Start a free trial now to save yourself time and money! On average this form takes 133 minutes to complete.