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PENALTIES INCLUDE IMPRISONMENT FINES AND DENIAL OF INSURANCE BENEFITS. ACORD 823 2009/09 Attach to ACORD 125 2006-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD. AGENCY CUSTOMER ID ADDITIONAL PREMISES INFORMATION SCHEDULE Page CARRIER AGENCY POLICY NUMBER EFFECTIVE DATE of NAIC CODE NAMED INSURED S PREMISES INFORMATION LOC STREET CITY LIMITS INTEREST INSIDE BLD...
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acord 823
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