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MARTIAL ARTS SELF DEFENSE INSTRUCTOR  Insurance Program and Enrollment Form  This brochure is valid for effective dates fr...
COVERAGES AND LIMITS Coverages  Option 1  Commercial General Liability  CGL   Limits  Option 2  Option 3  Limits  Limits  ...
Enrollment Form Martial Arts Self Defense Instructor  Valid for effective dates from 1 1 17 through 12 31 17 Completion of...
Please select one option based upon the desired coverage period, type of instructor and limit needed.    m Annual Coverage...
  DOCUMENT DELIVERY  You will receive a certificate showing evidence that coverage has been bound. This coverage document ...
TO BE COMPLETED ONLY IF LICENSED INSURANCE AGENT IS SUBMITTING THIS FORM  AGENTS ONLY  Agency name  ______________________...
COVERAGE EXCLUSIONS  The following exclusions are contained in the commercial general liability coverage provided by this ...
READ AND SIGN Warranty and Disclosure Statement  I understand that the insurance company, in determining whether to provid...