LETTER OF INSURANCE BINDER – free business letters legal forms

LETTER OF 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 earlier, it is replaced by a policy of the Company, and is subject to all the terms and conditions of said policy as customarily issued by the Company. This binder may be cancelled by the Insured by mailing to the Company written notice stating when thereafter such cancellation shall be effective. This binder may be cancelled by the Company by mailing to the named insured at the address shown in this binder written notice stating when not less than ten days hereafter such cancellation shall be effective.

_______________________________

By_____________________________

Dated__________________________

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