Información General del Certificado
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Seleccionar Agencia:
Insurer(s) Affording Coverage
▼A
B
C
D
E
F
Commercial General Liability (CGL)
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CGL Policy Details
Gen'l Agg per:
Each Occurrence
Damage Rented Premises
Med Exp (Any one person)
Personal & Adv Injury
General Aggregate
Products – Comp/Op Agg
Description of Operations / Locations / Vehicles
▼Ingresa información de operaciones, localizaciones, vehículos, endorsements, additional insured wording, etc. (ACORD 101 puede adjuntarse si se necesita más espacio)
Automobile Liability
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Auto Policy Details
Combined Single Limit (Ea accident)
Bodily Injury (Per person)
Bodily Injury (Per accident)
Property Damage (Per accident)
Umbrella / Excess Liability
▼
Umbrella / Excess Policy
Each Occurrence
Aggregate
Workers Compensation & Employers' Liability
▼
WC & EL Policy
E.L. Each Accident
E.L. Disease – Ea Employee
E.L. Disease – Policy Limit
Other Coverage — Después de Fila D
▼Coberturas adicionales que aparecen en las filas en blanco debajo de Workers Comp (ej: Medical Payments, Inland Marine, Garage, Crime, etc.)
Other Policy / Coverage A
Other Policy / Coverage B
Certificate Holder
▼Descripción del Vehículo / Equipo
▼Aseguradores (Insurers)
▼A
B
C
D
E
Coverages — Liability & Physical Damage
▼Vehicle Liability
INSURER LETTER
Combined Single Limit
Bodily Injury (Per person)
Bodily Injury (Per accident)
Property Damage
General Liability (si aplica)
Each Occurrence
General Aggregate
Veh Collision Loss
LOSS PAYEE LTR
$ Limit
$ Deductible
Veh Comp / OTC (Other Than Collision)
$ Limit
$ Deductible
Additional Interest / Certificate Holder
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Vehicle Interest:
Interest Type: