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1. Certificate Information: Certificate number, date of issuance, and document identification details
2. Insured Party Details: Full legal name, address, and relevant identification numbers of the insured party
3. Insurer Details: Full legal name, address, license number, and contact information of the insurance company
4. Policy Information: Policy number, effective dates, and renewal date
5. Coverage Description: Detailed description of the types of liability coverage provided
6. Coverage Limits: Specific monetary limits for each type of coverage
7. Key Exclusions: Major exclusions and limitations of coverage
8. Certificate Holder: Identity and details of the party to whom the certificate is issued
9. Certification Statement: formal statement certifying the validity of the information provided
1. Additional Insured Parties: Section listing any additional parties covered under the policy, used when multiple entities are insured
2. Special Conditions: Any special terms or conditions applying to this specific certificate, included when there are deviations from standard coverage
3. Claims Notification Procedure: Specific instructions for filing claims, included when required by the certificate holder
4. Territory Limitations: Geographical limitations of coverage, included when coverage is not worldwide
5. Professional Activities Description: Detailed description of covered professional activities, included for professional liability certificates
1. Schedule A - Detailed Coverage Limits: Breakdown of specific coverage limits and sub-limits for different types of liability
2. Schedule B - Named Locations: List of specific locations covered under the policy, if applicable
3. Appendix 1 - Additional Insureds: Detailed list of all additional insured parties and their respective coverage details
4. Appendix 2 - Specific Exclusions: Detailed list of specific exclusions and limitations applicable to the coverage
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Medical Claim Form
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Belgian-law compliant car insurance contract template establishing vehicle coverage terms between insurer and policyholder.
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Belgian law-compliant General Liability Form establishing comprehensive liability management framework and risk allocation between parties.
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