DATE MM/DD/YYYY INSURANCE BINDER THIS BINDER IS A TEMPORARY INSURANCE CONTRACT SUBJECT TO THE CONDITIONS SHOWN ON PAGE 2 OF THIS FORM. Applicable in Arizona Binders are effective for no more than ninety 90 days. Applicable in California When this form is used to provide insurance in the amount of one million dollars 1 000 000 or more the title of the form is changed from Insurance Binder to Cover Note. Www. FormsBoss. com c Impressive Publishing 800-208-1977 AGENCY CUSTOMER ID This Company...
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