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ACORD 101 (2008/01)
effective date: named insured policy number carrier naic code agency loc #: agency customer id: additional remarks schedule page of additional remarks form number: form title:
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ACORD Forms Index
2024年12月3日 · Return this form to ACORD Member Services at [email protected]. COUNTRYWIDE P&C FORMS ... 101 2008/01 Additional Remarks Schedule 103 2012/03 Personal Auto Application Schedule – Additional Resident and Driver Information Section 105 2012/06 Apartment Building Supplement 106 2010/04 Vacant Building Supplement ...
ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE ...
description of operations / locations / vehicles (acord 101, additional remarks schedule, may be attached if more space is required) insr ltr type of insurance policy number policy eff (mm/dd/yyyy) policy exp (mm/dd/yyyy) limits per statute oth-er e.l. each accident e.l. disease - ea employee e.l. disease - policy limit $ $ $ any proprietor ...
ACORD Forms
ACORD Forms are now available in a variety of formats, including printable PDF, electronic fillable, and eForms. Using ACORD's standardized Forms allows for increased efficiency, accuracy, and speed of information processing.
ACORD 101 Additional Remarks Schedule - Vertafore
ACORD 101 Additional Remarks Schedule. Use the clickable sections in the form below to find corresponding fields in Sagitta. When you have a question about a field on the form, click its section to access the list of Sagitta fields that populate that section of the form.
ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE ...
acord 1 (2016/10) Applicable in Oregon: 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.
GIVE COMMENTS AND DESCRIPTIONS OF BUSINESS, OPERATIONS AND PRODUCTS: MANUFACTURING - RAW MATERIALS, PROCESSES, PRODUCT, EQUIPMENT; CONTRACTOR - TYPE OF WORK, SUB-CONTRACTS; MERCANTILE - MERCHANDISE, CUSTOMERS, DELIVERIES; SERVICE - TYPE, LOCATION; FARM - ACREAGE, ANIMALS, …