Acord 146 Insurance Form

Acord 146 2007 02 author.

Acord 146 insurance form. Acord 146 2007 02 author. New used capacity date purchased manufacturer model model year other amount of insurance scheduled equipment acord 146 2003 09 attach to applicant information section. Acord 147 2013 09 applicable in al ar dc la md nm ri and wv 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. Since our first paper form was released in 1972 acord has provided the standard forms used by the insurance industry.

Acord 146 2013 09 applicable in al ar dc la md nm ri and wv 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. New used date purchased amount of insurance type manufacturer model capacity description. Attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the colorado division of insurance within the department of regulatory agencies. Of insurance coverage deductible territory of operation type of operation explain all yes responses y n 1 equipment rented loaned to from others with without operators.

New used date purchased amount of insurance type manufacturer model capacity description. Acord corporation created date. Acord 146 2007 02 attach to acord 125. Penalties may include imprisonment fines denial of insurance and civil damages.

Applicable in al ar dc la md nm ri and wv acord 146 2013 09 national producer number required in florida. New used date purchased amount of insurance type manufacturer model capacity description model year id serial no. Manufacturer model model year other amount of insurance type id serial no. This chapter provides basic instructions for completing the acord equipment floater section acord 146.

New used date purchased amount of insurance type manufacturer model capacity description model year id serial no. Penalties may include imprisonment fines denial of insurance and civil damages. Acord 146 2007 02 attach to acord 125 coinsurance model year id serial no. Although the main function of this form is to collect underwriting and rating information for contractors equipment schedules it may also be used for any other applicable inland marine coverage and schedule including those for cameras musical instruments and physician and surgeon equipment.

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