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APPENDIX A CONFLICT OF INTEREST DISCLOSURE STATEMENT This form is to be used for the following purposes: 1. 2.For annual disclosures to be submitted by September 30th of each year. For disclosures
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The COI form, or Certificate of Insurance form, is a document that provides proof of insurance coverage for an individual or business.
Individuals or businesses that need to demonstrate their insurance coverage to another party, such as a client or contractor, are typically required to file the COI form.
To fill out the COI form, you must provide details such as the insured's name and address, insurance provider, policy number, coverage limits, and the effective dates of the policy.
The purpose of the COI form is to provide verification and assurance that the insured party has the necessary insurance coverage as required by a contract or law.
The COI form must report information including the insured's name and contact details, insurance company name, policy number, type of insurance, coverage limits, and any additional insured parties.
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