This document is a Bid Form. The Bid Form includes the following sections: name of contractor, name of owner, project description, and commencement of work.
Proposal Form For Personal Accident Insurance In Collin
Category:
State:
Multi-State
County:
Collin
Control #:
US-00428-AZ
Format:
Word;
Rich Text
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1. YOU must answer all questions giving full and complete answers. 2. It is YOUR duty to provide all information that is requested in the Proposal Form.Please use the checklist below to indicate the operation in the QBE Pacific Islands region to which you will be submitting your proposal. MARKET. No. of Employees Basis of Cover. Guidelines for completion of the form: Please answer all the questions fully and correctly. (i) When filling in this Form, please see that all the questions are fully answered. It is the duty of the proposer to disclose all material facts relevant to the risk. Instructions For Filling Up The Form:- 1. Please answer all questions in BLOCK letters. SCOPE OF COVER: The Policy pays the Insured in case of Accidental Death, Loss of limbs and eyes, Permanent Total Disablement and Permanent Partial Disablement.