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OWNERS AND CONTRACTORS PROTECTIVE LIABILITY SUPPLEMENTAL APPLICATION1. Prospective Named Insured (the entity for whom work is being performed): 2. Mailing Address: 3. Name of Designated Contractor:
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The prospective named insured form is a document used to collect information about individuals or entities who are interested in obtaining insurance coverage.
Insurance companies or agents may require individuals or entities interested in obtaining insurance coverage to fill out the prospective named insured form.
To fill out the prospective named insured form, individuals or entities will need to provide their personal or business information, insurance needs, and any other relevant details requested on the form.
The purpose of the prospective named insured form is to gather necessary information to assess the insurance needs and risks associated with providing coverage to the individual or entity.
The information that must be reported on the prospective named insured form typically includes personal or business details, insurance requirements, and any other relevant information required by the insurance company.
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