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Ding. I hereby certify that my agent offered me the opportunity to purchase flood insurance coverage in the National Flood Insurance Program through Harleysville, as described below. I understand that, because I declined this protection or chose other options, I will not be covered in the event there is a loss to my property caused by flood. I also understand that neither Harleysville nor my agent and/or agency can be held responsible for my decision not to purchase flood insurance. Dwelling Cov.

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Keywords relevant to Rejection Form

  • flooding
  • premium
  • peril
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