GARCIA, JOSE MANUEL - Laserfiche WebLink

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DISCLAIMER This proposal does not constitute a Binder of Coverage. It is a general reference only to the coverage(s) the insurance policy or policies would provide and is not intended to describe all of the various details pertaining to the insurance. This proposal does not rely upon broker or applicant specifications. Any other coverage extensions, deletions or changes requested in the submission are hereby rejected. This proposal is strictly conditioned upon no material change in the risk occurring between the date of this proposal and the inception date of the proposed policy (including any claim or notice of circumstances that which may reasonably be expected to give rise to a claim under any policy of which the policy being proposed by this proposal is a renewal or replacement). In the event of such change in risk, American Specialty may in its sole discretion, whether or not this proposal has been already accepted by the Insured, modify and/or withdraw this proposal. Please review this Proposal prior to bf{iding. The terms of this proposal do not represent contract terms. The policy is subject to, however not limited to all terms, conditions, and exclusions as noted. Actual coverage(s) are detailed only in the policy of insurance. It is important that you consult the actual policy for definitions and limitations. Policy forms are available upon request for review prior to the binding of coverage(s). Subject to the terms and conditions outlined herein and prior to the proposal expiration date, this proposal may be bound only by American Specialty Insurance & Risk Services, Inc. and then only in writing, after written acceptance of this proposal by the Insured or by the Insured's authorized representative. Retail broker does not have binding authority. This proposal will remain in effect until 09/13/2019 unless accepted in writing prior to then or unless modified in writing by American Specialty Insurance & Risk Services, Inc. If we do not receive your response to this proposal by the date indicated, this account's file will be considered closed. SPECIAL STATE REQUIRED NOTICES - Notice to Residents of California: Any person who knowingly and with intent to defraud any insurance company or another person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects the person to criminal and civil penalties. ©American Specialty Insurance & Risk Services, Inc. dba A.S.I.R.S.I. Insurance Agency; American Specialty Insurance & Risk Services Agency; and, A S Insurance & Risk Services Agency (9/11/2019)