Policy Information

Information with respect to new and renewal policies

Policy number
Name of insured
Type of coverage
Premium
Policy effective date and expiration date
Insurer code and each insurer's percentage of participation
Type of business and its respective SIC code
Insured address
Whether the policy is new or renewal

Information with respect to endorsements

Policy number
Name of insured
Endorsement of effective date
Premium for the endorsement
Whether the endorsement is a policy cancellation

Information with respect to non-premium bearing endorsements concerning changes to any of the following:

Policy number
Name of insured
Endorsement of effective date and expiration date
Insurer code and each insurer's percentage of participation
Insured's address

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