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PRG 142057 (12-22) ©All rights reserved. Page 1 of 1 FOREIGN DRIVER QUESTIONNAIRE Named Insured: ______________________________________________________________ Policy Number: _________________

PRG 142060 (12-22) ©All rights reserved. Page 1 of 2 MONSTER TRUCK SUPPLEMENTAL APPLICATION Is insured required to indemnify MONSTER TRUCK promoters/owners? □ Yes □ No □ Do Not Know * If

CONSENT FOR ELECTRONIC DISCLOSURE, GENERAL FRAUD STATEMENT & COMPENSATION PLEASE READ, COMPLETE AND SIGN/DATE, WHERE INDICATED CONSENT FOR ELECTRONIC DISCLOSURES UNDER THE ELECTRONIC

NAME OF TRACK FACILITY: Date: Date-0: Printed Name of Minor: DOB: Textfield-1: Printed Name of Parent or Guardian 1: Printed Name of Parent or Guardian 2: All Event Dates: Yes:

Abuse & Molestation Supplemental Questionnaire Named Insured I DBA Facility Address City I State I ZIP Code 1. Type of Facility 2. Please check each that describes your current and/ or planned

Batting Cages Supplemental Questionnaire Separate application required for each location I. General InformationNamed Insured I OBA Facility Address Website I Email II. Batting Cage

Health Club Facility Swimming Pool Supplemental Application I. General Information Named Insured I DBA Facility Address Website I Email How many pools? Indoor Outdoor II. Pool

NAME OF TRACK FACILITY: I HAVE READ THIS RELEASE: SIGNATURE: PRINT NAME: TITLE: DATE SIGNED: CREDENTIALS: ADDRESS:

Facility Insurance Application Facility Name I Facility Age Contact Person I Title Facility Location Phone I Fax I Email Annual Admissions I Seating I Total Capacity I Total Gross Receipts

Health Club Facility Swimming Pool Supplemental Application I. General Information Named Insured I DBA Facility Address Website I Email How many pools? Indoor Outdoor II. Pool

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Wind Deductible Buyback Program FEATURES ■ Lloyd’s of London Coverholder ■ 24-hour turnaround with fully completed, signed and dated application ■ Available on Builder’s Risk ■ Overlying wind

SPAC COVERAGE CONSIDERATIONS INSURING SPAC'S As they go through their IPO and the subsequent M&A process, SPACs face many regulatory, legal, and business hurdles, including obtaining the

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1TODAYSVETERINARYBUSINESS.COMAs seen in the December 2023/January 2024 issue of Today’s Veterinary Business BUSINESS PROTECT & DEFEND The Hidden World of CybercrimeBy Ed Branam, DVM, CIC

2022 Safehold Veterinary Loss Prevention Program Handling Hazardous Materials in the Veterinary Setting 2022 Safehold Handling Hazardous Materials in the Veterinary Setting

Veterinary Loss Prevention Program Noise Exposure in the Veterinary Setting 2022 Safehold Products and services

Veterinary Loss Prevention Program Respiratory Concerns in the Veterinary Setting 2022 Safehold Respiratory Concerns in the Veterinary