Insurance Company Address definition

Insurance Company Address. [Insert Insurance Company’s Address] Insurance Company Telephone No.: [Insert Insurance Company’s Telephone No.] Insurance Company Fax No.: [Insert Insurance Company’s Fax No.] The Grantor hereby authorizes the Insurance Agent to send evidence of all insurance to the Lender, as may be requested by the Lender, together with requested insurance policies, certificates of insurance, declarations and endorsements.
Sample 1Sample 2Sample 3
Insurance Company Address. [Insert Insurance Company’s Address] Insurance Company Telephone No.: [Insert Insurance Company’s Telephone No.]
Sample 1
Insurance Company Address. [Insert Insurance Company’s Address] Insurance Company Telephone No.: [Insert Insurance Company’s Telephone No.] Insurance Company Fax No.: [Insert Insurance Company’s Fax No.] The Grantor hereby authorizes the Insurance Agent to send evidence of all insurance to the Administrative Agent, as may be requested by the Administrative Agent, together with requested insurance policies, certificates of insurance, declarations and endorsements. Delivery of an executed counterpart of a signature page of this Certificate by fax transmission or other electronic mail transmission (e.g. “pdf” or “tif”) shall be effective as delivery of a manually executed counterpart of this Certificate. * I.S.A.O.A. stands for “its successors and/or assigns.” A.T.I.M.A. stands for “as their interest may appear.”
Sample 1

Examples of Insurance Company Address in a sentence

  • Insurance Company: Insurance Company Address: Medical Insurance Policy Number: I represent that any medication to which Minor is allergic or medications that Minor is currently taking are listed below.

  • Attach a copy of the front and back of your insurance card.Policy Holder’s NameName of Insurance CarrierPolicy #Group #Insurance Company Address (street, city, state, zip)Telephone Number Health Information Privacy Statement and AuthorizationThe FAMU Summer Camp Medical History Form is for health care concerns for minors attending a FAMU sponsored camp/activity.

  • CERTIFICATE OF LIABILITY INSURANCEDATEPRODUCERInsurance Company Name Fax: (212) 555-6100 Insurance Company Address 1Insurance Company Address 2Attn: Agent Name (212) 555-6102 ext.

  • Insurance Company Address:* You may copy both sides of your insurance card and attach it if it includes all of the above information.

  • Yes NoIf you provide health care insurance (medical, optometric, dental or orthodontic, or counseling costs) for your child(ren) please complete the following:Name of the Health Care Insurance Company: Address of the Health Care Insurance Company: Policy Number of the policy: Total monthly cost of the insurance: Persons covered under the policy of insurance: If you can identify the exact amount of the premium each month that is solely for the child(ren) in this matter, please specify that amount.

  • The Employer may direct inquiries regarding the Plan or the effect of the Favorable IRS Letter to the Volume Submitter Sponsor (or authorized representative) at the following location: Name of Volume Submitter Sponsor (or authorized representative): Massachusetts Mutual Life Insurance Company Address: 0000 Xxxxx Xxxxxx Xxxxxxxxxxx, XX 00000-0000 Telephone number: (000) 000-0000 IMPORTANT INFORMATION ABOUT THIS VOLUME SUBMITTER PLAN.

  • Name: Phone:Address: Insurance Information Insurance Company: Address: Policyholder: Policy No. Please attach a copy of your insurance card if possible.

  • Yours truly,Signature and seal: Name of Bank or Insurance Company: Address: Date: SECTION X: APPLICATION TO PUBLIC PROCUREMENT ADMINISTRATIVE REVIEW BOARDFORM RB 1REPUBLIC OF KENYAPUBLIC PROCUREMENT ADMINISTRATIVE REVIEW BOARD APPLICATION NO…………….OF……….….20……...

  • Insurance Company: Insurance Company Address: Medical Insurance Policy Number: I represent that any medication to which I am allergic or medications that I am currently taking are listed below.

  • Medications (if any): Allergic to (if any): I acknowledge that Minor suffer from the following conditions: Family Doctor: Minor Birthdate: Insurance Company: Insurance Company Address: Medical Insurance Policy Number: Emergency Information: Name: Address: City, State, Zip: Daytime Telephone: Evening Telephone: I, in my own behalf and on behalf of Minor, hereby warrant that I have read this Participant Release and Waiver Form in its entirety and fully understand its contents.


More Definitions of Insurance Company Address

Insurance Company Address. [Insert Insurance Company’s Address]
Sample 1
Insurance Company Address. [Insert Insurance Company’s Address] Insurance Company Telephone No.: [Insert Insurance Company’s Telephone No.] Insurance Company Fax No.: [Insert Insurance Company’s Fax No.] The Grantor hereby authorizes the Insurance Agent to send evidence of all insurance to the Agent, as may be requested by the Agent, together with requested insurance policies, certificates of insurance, declarations and endorsements. _______________________________________ * I.S.A.O.A. stands for “its successors and/or assigns.” A.T.I.M.A. stands for “as their interest may appear.”
Sample 1

Related to Insurance Company Address

  • Insurance Company The Transferee is an insurance company whose primary and predominant business activity is the writing of insurance or the reinsuring of risks underwritten by insurance companies and which is subject to supervision by the insurance commissioner or a similar official or agency of a state, U.S. territory or the District of Columbia.

  • Insurance Companies means the companies with whom the Insurance Policies are held.

  • home address , in relation to a person, means—

  • Association captive insurance company means a company that insures risks of the member organizations of the association and their affiliated companies.

  • Captive insurance company means a pure captive insurance company, association captive insurance company, captive reinsurance company, sponsored captive insurance company, special purpose captive insurance company, or industrial insured captive insurance company formed or licensed under this chapter. For purposes of this chapter, a branch captive insurance company must be a pure captive insurance company with respect to operations in this State, unless otherwise permitted by the director.

  • Title Insurance Company as defined in Section 6.1(o).

  • Corporation/ Corpn./ Department means the Central Warehousing Corporation.

  • Insurance premium finance company means a person engaged in the business of

  • Master Street Address Guide or "MSAG" is a database of street names and house number ranges within their associated communities defining particular geographic areas and their associated ESNs to enable proper routing of 911 calls. "Meet Point" is a point of Interconnection between two (2) networks, designated by two (2) Telecommunications Carriers, at which one Carrier's responsibility for service begins and the other Carrier's responsibility ends.

  • Residential address means the physical location where the student’s parents, legal guardians, persons having legal, lawful control of the student under order of a court, or persons standing in loco parentis reside. A student may use the residential address of a legal guardian, person having legal, lawful control of the student under order of a court, or person standing in loco parentis only if the student resides at the same residential address and if the guardianship or other legal authority is not granted solely for educational needs or school attendance purposes.

  • life insurance business means the business of providing or undertaking to provide policy benefits under life policies;

  • Notification Email Address means the email address (if any) designated by Customer, via the user interface of the Processor Services or such other means provided by Google, to receive certain notifications from Google relating to these Data Processing Terms.

  • Delivery Address means the address stated on the Order.

  • Life insurance means insurance coverage on human lives including benefits of endowment and annuities, and may include benefits in the event of death or dismemberment by accident and benefits for disability income and unless otherwise specifically excluded, includes individually issued annuities.

  • Specified Insurance Company means any Entity that is an insurance company (or the holding company of an insurance company) that issues, or is obligated to make payments with respect to, a Cash Value Insurance Contract or an Annuity Contract.

  • Business address means a single address of a governmental agency designated for the public to contact an employee or officer of the governmental agency.

  • Owners Corporation means the Owners’ corporation of the Lot and the Development incorporated and registered under the Building Management Ordinance (Cap.344);

  • supply address means the premises to which gas was, is or may be supplied under a contract.

  • Sponsored captive insurance company means a captive insurance company:

  • Insurance Commissioner means the Insurance Commissioner

  • Email Address means a current valid email address.

  • community centre means any school, railway station, police station and other location providing a service to the community;

  • Industrial insured captive insurance company means a company that insures risks of the industrial insureds that comprise the industrial insured group and their affiliated companies.

  • Post Office Box means each post office box to which Obligors are directed to mail payments in respect of the Pledged Loans.

  • Professional limited liability company means a limited

  • Freeway means a divided multi-lane highway for through traffic with all crossroads separated in grade and with full control of access.