Laserfiche WebLink
ADDITIONAL COVERAGES <br />Ref # <br />I Description <br />Employee Benefits <br />Coverage Code <br />EBLIA <br />Form No.Edition <br />Date <br />Limit 1 <br />1,000,000 <br />Limit 2 <br />Limit 3 <br />Deductible Amount <br />Deductible Type <br />Premium <br />$538.00 <br />Ref # <br />Description <br />Additional Insured <br />Coverage Code <br />ADDIN <br />Form No. <br />Edition Date <br />Limit 1 <br />Limit 2 <br />Limit 3 <br />Deductible Amount <br />Deductible Type <br />Premium <br />$20.00 <br />Ref # <br />Description <br />Medical payments <br />Coverage Code <br />MEDPM <br />Form No. <br />Edition Date <br />Limit 1 <br />2,000 <br />Limit 2 <br />Limit 3 <br />Deductible Amount <br />Deductible Type <br />Premium <br />Ref # <br />Description <br />Umbrella(C) <br />Coverage Code <br />CUMBR <br />Form No. <br />Edition Date <br />Limit 1 <br />Limit 2 <br />Limit 3 <br />Deductible Amount <br />Deductible Type <br />Premium <br />$16,681.00 <br />Ref # <br />Description <br />Products/Completed Ops Aggregate <br />Coverage Code <br />PRDCO <br />Form No. <br />Edition Date <br />Limit 1 <br />5,000,000 <br />Limit 2 <br />Limit 3 <br />Deductible Amount <br />Deductible Type <br />Premium <br />Ref # <br />I Description <br />General Aggregate <br />Coverage Code <br />GENAG <br />Form No. <br />Edition Date <br />Limit 1 <br />5,000,000 <br />Limit 2 <br />Limit 3 <br />Deductible Amount <br />Deductible Type <br />Premium <br />Ref # <br />Description <br />Personal & Advertising Injury <br />Coverage Code <br />PIADV <br />Form No. <br />Edition Date <br />Limit 1 <br />5,000,000 <br />Limit 2 <br />Limit 3 <br />Deductible Amount <br />Deductible Type <br />Premium <br />Ref # <br />Description <br />Adjst. to reconcile -exp mod. premium <br />Coverage Code <br />AREM <br />Form No.Edition <br />Date <br />Limit 1 <br />Limit 2 <br />Limit 3 <br />Deductible Amount <br />Deductible Type <br />Premium <br />Ref # <br />Description <br />Schedule rate adjustment <br />Coverage Code <br />SRA <br />Form No. <br />Edition Date <br />Limit 1 <br />Limit 2 <br />Limit 3 <br />Deductible Amount <br />Deductible Type <br />Premium <br />-$3,099.00 <br />Ref # <br />Description <br />Premium discount <br />Coverage Code <br />PDIS <br />Form No. <br />Edition Date <br />Limit 1 <br />Limit 2 <br />Limit 3Deductible <br />Amount <br />Deductible Type <br />Premium <br />-$39.00 <br />Ref # <br />Description <br />Adjst. to reconcile -exp mod. premium <br />Coverage Code <br />AREM <br />Form No. <br />Edition Date <br />Limit 1 <br />Limit 2 <br />Limit 3 <br />Deductible Amount <br />Deductible Type <br />Premium <br />�O7FADTLCV Copyright 2001, AMS Services, Inc. <br />142 <br />