Policy Declaration2

By Ashley Zufelt | July 26, 2024 |

Professional Insurance Exchange Mutual, Inc. D-54321 POLICY NO. Class ii-H FIP DECLARATIONS 1. NAME OF INSURED SCHEDULE Individual Professional Liability Claims-Made Coverage Ashley Zufelt Dentistry Ashley Zufelt street city, state zip usa RETROACTIVE DATE jan 1, 2000 2. A POLICY FROM dec 20, 2023 to dec 20, 2024 12:01 a.m. standard time issued to the Named…

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