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EP1,C LAND SOLUTIONS A-2015-161 REVIEWED BY EUNICE FIEREDIA (PG 4 OF 5) <br />Exclusion. Verifica - t1on Form Disclaimer <br />This is: fo emphasize that insurance brokers cannot legally verify whether apyerame will <br />exist :,u,ndolr-all, Possible circ.-U.m,.s.f,an..c.e§ with .re r <br />regard d to: a ny given policy :of <br />Insurance. insurance brokers are not allowed to modify, ;amend org para Intpe <br />coverage provisions, or ass.umptio.ns under any written contract where, verifi.cation from <br />a. broker may be sought,, Brokers can provide certificates-ol insurance to address, <br />,various general categories of insurance coverage as geherally.0pt fod.h in 'the attached, <br />sample ACORD,statdimenf. Furthermoto, brokers do. not .make the final determinations <br />of coverage In'the event o a ot <br />of claimi at s6rhO hyPOthetic 1: p hf in the fufui-6. Any <br />modifications suggested. bycihyVOeifi't'pdq"uo*sfi'q'nnair.e.Will6n!yr!el5,tesehf,thd <br />reasonable opiniorof an1ndividual J hsurande broker sUbjedfltb the sfdnddtd1df care <br />observed c y; simi ar insuraned , 'b r kers providing siirr# rtervic es,fo f he ir ceh !s.in th e <br />design and consulting .c6mm' unity, dt:the time and in" the jurisdiction w-hdee'fh ei, <br />verifiaaltion is n�Iade You should alsi� -;be advised #hatinsurance laws and regulations <br />vary fr6.m', state fostate. Incoriclusl6hdrily verification which attempts tomodify <br />coverage of the underlying insurance producHn any way is of no effect and void. <br />