SINGLE CONTRACT COMPREHENSIVE GENERAL LIABILITY INSURANCE PROPOSAL FORM

IMPORTANT :
I. PURSUANT TO SECTION 149(4) OF THE INSURANCE ACT 1996 – You are to disclose in this proposal form, fully and faithfully all the facts which you know or ought to know, otherwise the policy issued hereunder ma be void.
II. Signing of this Proposal does not bind the Company to offer or the Proposer to accept, Insurance, but it is agreed that this Proposal shall be the basis of any insurance issued.
III. If there is insufficient space to complete the Proposal, please attach additional sheets.

SIMON POON AGENCY & Associated Principal application

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