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Web date (mm/dd/yyyy) agency carrier underwriternaic code: Web acord 125 (2013/01) any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance containing any materially false. Web acord 125 (2011/09) commercial insurance application. See key points, tips and examples for each section of the form. The acord 125 form is one of the most commonly used forms in the insurance industry.

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Products Of Others Sold Or Re.

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