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Acord 130 Workers Compensation. << /BaseFont /Arial /Encoding /WinAnsiEncoding /FirstChar 0 /FontDescriptor << /Ascent 905.27 /CapHeight 716.31 /Descent -211.91 /Flags 32 /FontBBox [ -45.90 -168.46 1000.00 938.48 ] /FontName /Arial /ItalicAngle 0.00 /StemV 0.00 /Type /FontDescriptor >> /LastChar 255 /Subtype /Type1 /Type /Font /Widths [ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 277.83 277.83 354.98 556.15 556.15 889.16 666.99 190.92 333.01 333.01 389.16 583.98 277.83 333.01 277.83 277.83 556.15 556.15 556.15 556.15 556.15 556.15 556.15 556.15 556.15 556.15 277.83 277.83 583.98 583.98 583.98 556.15 1015.14 666.99 666.99 722.17 722.17 666.99 610.84 777.83 722.17 277.83 500.00 666.99 556.15 833.01 722.17 777.83 666.99 777.83 722.17 666.99 610.84 722.17 666.99 943.85 666.99 666.99 610.84 277.83 277.83 277.83 469.24 556.15 333.01 556.15 556.15 500.00 556.15 556.15 277.83 556.15 556.15 222.17 222.17 500.00 222.17 833.01 556.15 556.15 556.15 556.15 333.01 500.00 277.83 556.15 500.00 722.17 500.00 500.00 500.00 333.98 259.77 333.98 583.98 0 556.15 0 222.17 556.15 333.01 1000.00 556.15 556.15 333.01 1000.00 666.99 333.01 1000.00 0 610.84 0 0 222.17 222.17 333.01 333.01 350.10 556.15 1000.00 333.01 1000.00 500.00 333.01 943.85 0 500.00 666.99 277.83 333.01 556.15 556.15 556.15 556.15 259.77 556.15 333.01 736.82 370.12 556.15 583.98 333.01 736.82 552.25 399.90 548.83 333.01 333.01 333.01 576.17 537.11 333.01 333.01 333.01 365.23 556.15 833.98 833.98 833.98 610.84 666.99 666.99 666.99 666.99 666.99 666.99 1000.00 722.17 666.99 666.99 666.99 666.99 277.83 277.83 277.83 277.83 722.17 722.17 777.83 777.83 777.83 777.83 777.83 583.98 777.83 722.17 722.17 722.17 722.17 666.99 666.99 610.84 556.15 556.15 556.15 556.15 556.15 556.15 889.16 500.00 556.15 556.15 556.15 556.15 277.83 277.83 277.83 277.83 556.15 556.15 556.15 556.15 556.15 556.15 556.15 548.83 610.84 556.15 556.15 556.15 556.15 500.00 556.15 500.00 ] >>
ÈŸşÙ-�úgwYí²ıVqİ£¦ëÆi¥­…¸môö¤ÀÛêìlÛÙŠ¯D§Æu~1Z€*‡W. For larger documents this process may take up to one minute to complete. REMARKS / PROCESSING INSTRUCTIONS (Attach ACORD 101, Additional Remarks Schedule, if more space is required), TYPE / DESCRIPTION OF OCCURRENCE OR CLAIM, COPY OF THE NOTICE OF INFORMATION PRACTICES (PRIVACY) HAS BEEN GIVEN TO THE APPLICANT. There are exceptions. 0000003136 00000 n << /AcroForm << /DR << /Font << /F1 2 0 R >> >> /Fields [ 3 0 R ] /XFA 4 0 R >> /NeedsRendering false /Pages 5 0 R /Type /Catalog >>

THE INSURER OR ANY OTHER PERSON. 0000014966 00000 n PENALTIES INCLUDE IMPRISONMENT AND/OR FINES.
Send the above items to submissions@cig-llc.biz for underwriter assignment. All forms are printable and downloadable. << /Author (�.������ɥ+��*) /CreationDate (�WĐ�Ѳ�US����i� T�) /Creator (�����\r��%��%�QS�yTl1A�0�0o7���+�]Qu:��) /ModDate (�WĐ�Ѳ�US����i� T�) /Producer (�����\r��%��%�QS�yTl!G�\)�fd���B�X\t��) /Title (�.���IJ�TU��z��t�) >> Other parties need to complete fields in the document. endobj Cancel at any time. Send to someone else to fill in and sign. Fill is the easiest way to complete and sign PDF forms online. ANY FOREIGN OPERATIONS, FOREIGN PRODUCTS DISTRIBUTED IN USA, OR US PRODUCTS SOLD/DISTRIBUTED IN FOREIGN COUNTRIES? 5. are subcontractors allowed to work without providing you with a certificate of insurance? As Lloyd cover holders, we are proud members of ACORD. 0 The Acord 125 Fillable form is 4 pages long and contains: 0 ... Acord-126- Fillable ACORD 0126 2016-09; Acord-140- Fillable ACORD 0140 2016-03r1; New Patient Health History Form; Request To Post Numeric Average Spring 2020 ; Noticeof Commencement Notice Of Commencement Form; Residential Roofing; Roofing Inspection Affidavit Mr; Unleashed Workbook; Engineering-Portfolio Succeeding In A … Email our Customer Success Team or check out our FAQs on Zendesk! �dɬ� #�B�����O�O&A)���p*YIZe6�e^�H�S�]6c��=p����X�Ϊz:��{��d%&DZ�T�/;�d�Y��H~�|��+]�!�Xn6�d�>�p��u��Gu�܀u��0���cD(gFfo�:H�*�W� �U(�d�G ro��u:]�Ğ File type: PDF. ACORD 125 (Commercial Lines Application)  https://www.youtube.com/watch?v=rIfT72r9wN8, ACORD 126 (General Liability)  https://www.youtube.com/watch?v=y_iLQQdYnzo, ACORD 140 (Property)  https://www.youtube.com/watch?v=T-Vu-aY6VvY, ACORD 130 (Workers Comp)  https://www.youtube.com/watch?v=HA86wnZcpFc&t=25s, Line by line instructions for each ACORD as well can be found here: http://www.formsboss.com/fig.php, https://commercialinsurance.surefyre.co/page/all-other/.

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