INSURANCE BINDER
Effective Date and Hour__________________________ Insured__________________________________________ Address__________________________________________ Company__________________________________________ Premium__________________________________________ __________________________________________ Coverage___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________
This binder is evidence that ___________________________has placed the described insurance with the above Company for the amount set forth. This binder shall remain in force for ____days from the date of commencement of liability hereunder or when, if …