Professional Documents
Culture Documents
Echo Documentespectavulis Romanís
Echo Documentespectavulis Romanís
Echo Documentespectavulis Romanís
Coverages
Liability Comprehensive Collision Ded
50/100/50 $500 $500
Effective May 09, 2022, expiring not to exceed thirty (30) days hence
and to become void immediately upon the issuance of a policy in place hereof.
ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY
OR OTHER 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 SUCH PERSON TO
CRIMINAL AND CIVIL PENALTIES.
5/9/2022
Date _______________,____ _____________________________
Authorized Representative