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PART C AFFIDAVIT BY PRODUCING BROKER 1. PRODUCING BROKER INFORMATION AFFIDAVIT NO. License No. BR- Name Address City State Zip Code 2. RISK INFORMATION: Name of the Insured (The name of the insured
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Excess lines association aff is an affiliation form that is related to excess lines insurance coverage.
The insurance company providing excess lines insurance coverage is required to file excess lines association aff.
To fill out excess lines association aff, the insurance company needs to provide the required information related to their excess lines insurance coverage.
The purpose of excess lines association aff is to report and track the excess lines insurance coverage provided by insurance companies.
The information that must be reported on excess lines association aff includes details about the insurance company, the excess lines insurance coverage provided, and other relevant information.
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