Special Events Liability Application
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Fraud warning. 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 may be a crime.
Applicant's acknowledgement. By submitting this application, the applicant declares, to the best of their knowledge and belief, that all statements and answers in this application are true and complete, and understands and agrees that (a) this application will form part of any policy issued, (b) no information given to or acquired by any representative of the Company will bind it unless it is in writing on this application, (c) no waiver or modification will bind the Company unless it is in writing and signed by an executive officer of the Company, and (d) only those persons eligible under the terms of an issued policy will be insured.
Questions? Call 214-599-7660 or email Quote@BKRRisk.com
