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Text File  |  1991-06-08  |  887 b   |  24 lines
  1.  
  2.                    INSURANCE BINDER
  3.  
  4. Effective Date and Hour__________________________
  5.  
  6. Insured__________________________________________
  7.  
  8. Address__________________________________________
  9.  
  10. Company__________________________________________
  11.  
  12. Premium__________________________________________
  13.        __________________________________________
  14.  
  15. Coverage___________________________________________________
  16.         ___________________________________________________
  17.         ___________________________________________________
  18.         ___________________________________________________
  19.  
  20. This binder is evidence that ___________________________has
  21. placed the described insurance with the above Company for
  22. the amount set forth.  This binder shall remain in force
  23. for ____days from the date of commencement of liability
  24. hereunder or when, if earlier, it is replaced by