Business liability insurance form
[DOC File]Virginia
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Commercial coverage is available from an insurance agent or carrier. The two Virginia insurance organizations that maintain membership of most Virginia insurance agents are listed: 1. The Independent Insurance Agents of Virginia, telephone 804-747-9300. 2. The Professional Insurance Agents Association of Virginia, telephone 804-264-2582
[DOC File]DOT Form 478: Questionnaire
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Corporation Business Limited Liability Co. Address: P. O. Box City State Zip Code Partnership Tel#: ... THIS FORM MUST BE COMPLETED BY CONTRACTORS OR SUBCONTRACTORS DESIRING TO PERFORM ELECTRICAL WORK FOR THE DEPARTMENT OF TRANSPORTATION. ... I hereby certify that I will maintain Workers’ Compensation Insurance as required by Georgia Law and ...
[DOCX File]South Gloucestershire
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Application form for Help us Thrive Fund. To be read in conjunction with the Guidance . notes. 1. ... 3.4 What was the turnover of your organisation/business in the last 3 financial years and how many people were employed by the organisation (directors and staff)? ... 5.1What insurance cover does your organisation hold? Please indicate the ...
FA-4139V: Financial Disclosure Statement
This form shall not be modified. It may be supplemented with additional material. Page 7 of 7. ... Insurance (life, health, accident, auto, liability, disability, homeowner’s or renter’s-excluding insurance that is paid through payroll deductions) ... Name of Business & Address. A. B. T. Type of Business % of Ownership. Value . minus .
[DOC File]Form 201—General Information - Texas
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A domestic or foreign corporation, limited liability company, limited partnership, limited liability partnership, or other foreign filing entity that regularly conducts business or renders a professional service in this state under a name other than its legal name (the name stated in its certificate of formation or comparable document) must ...
[DOCX File]New Mexico Medicaid Portal
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Updates to tax ID and business type require W-9, IRS letter, and a signed letter explaining the change. ... – Attach proof of liability insurance and professional or business license covering the requested backdate and explanation for backdate request. ... I understand that any information requested and provided on this form does not change ...
[DOCX File]Sample Independent Contractor Agreement
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[ ] Automobile liability insurance for each vehicle used in the performance of this Agreement -- including owned, non-owned (for example, owned by Contractor's employees), leased, or hired vehicles -- in the minimum amount of $_____ combined single limit per occurrence for bodily injury and property damage.
[DOC File]Maryland Department of Labor
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1. Liability Insurance. Every Licensed Home Improvement Contractor is required to maintain a minimum of $50,000 General Liability Insurance, written by an Insurance Company approved by the Maryland Insurance Administration. This insurance must show the Personal and Business name as insured and the Maryland Home Improvement Commission must be ...
[DOC File]MERGER AND ACQUISITION CHECKLIST
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The need for and availability of successor liability insurance should be determined. Such insurance will not avoid liability but it will help defray legal and claims costs if liability were imposed. Take care that such a policy expressly covers liability for the defunct firm's products without limitation as …
Business Plan Guide
Product liability – is insurance that covers a business for damage or injury caused to another business or person, through the failure of a product sold by that business. Professional indemnity – is insurance that protects a business if their client suffers a loss as a direct result of their advice.
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