Laserfiche WebLink
ADDITIONAL COVERAGES <br />Ref # <br />Description <br />Increased employer's liability <br />Coverage Code <br />INEL <br />Form No. <br />Edition Date <br />Limit 1 <br />Limit 2 <br />Limit 3 <br />Deductible Amount <br />Deductible Type <br />Premium <br />$848.00 <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 3 <br />Deductible Amount <br />Deductible Type <br />Premium <br />-$7,202.00 <br />Ref # <br />Description <br />Expense constant <br />Coverage Code <br />EXCNT <br />Form No. <br />Ed ition Data <br />Limit 1 <br />Limit 2 <br />Limit 3 <br />Deductible Amount <br />Deductible Type <br />Premium <br />$200.00 <br />Ref # <br />Description <br />Increased employer's liability <br />—T� <br />Coverage Code <br />INEL <br />Form No. <br />Edition Date <br />Limit I <br />Limit 1 <br />Limit 2 <br />Limit 3 <br />Deductible Amount <br />Deductible Type <br />Premium <br />$8.00 <br />Ref # <br />Description <br />Coverage Code <br />Form No. <br />Edition Data <br />Limit 1 <br />Limit 2 <br />Limit 3 <br />Deductible Amount <br />Deductible Type <br />Premium <br />Ref # <br />Description <br />Coverage Code <br />Form No. <br />Edition Date <br />Limit 1 <br />Limit 2 <br />Limit 3 <br />Deductible Amount <br />Deductible Type <br />Premium <br />7Ref#Description <br />Coverage Code <br />Form No. <br />Edition Date <br />Limit 1 <br />Limit 2 <br />Limit 3 <br />Deductible Amount <br />Deductible Type <br />Premium <br />Ref # <br />Description <br />Coverage Code <br />Form No. <br />Edition Date <br />Limit 1 <br />Limit 2 <br />Limit 3 <br />Deductible Amount <br />Deductible Type <br />Premium <br />Ref # <br />Description <br />Coverage Code <br />Form No. <br />Edition Date <br />Limit 1 I <br />Limit 2 <br />Limit 3 ]-Deductible <br />Amount <br />Deductible Type <br />Premium <br />Ref # <br />Description <br />Coverage Code <br />Form No. <br />Edition Data <br />Limit 1 <br />Limit 2 <br />Limit 3 TDeductible <br />Amount <br />Deductible Type <br />Premium <br />Ref # <br />Description <br />Coverage Code <br />Form No. <br />Edition Data <br />Limit 1 <br />Limit 2 <br />Limit 3 <br />Deductible Amount <br />Deductible Type <br />Premium <br />FADTLCV Copyright 2001, AMS Services, Inc. <br />F <br />143 <br />