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PAJUA.com Website: http://www.pajua.com APPLICATION FOR PODIATRIST S PROFESSIONAL LIABILITY INSURANCE Limits of Liability: $500,000 Per Occurrence / $1,500,000 Per Annual Aggregate POLICIES ARE ISSUED ON AN ANNUAL BASIS UNLESS OTHERWISE SPECIFIED AND APPROVED BY THE JUA COVERAGE CANNOT BEGIN PRIOR TO APPLICATION AND PREMIUM RECEIPT BY THE JUA Applicant s Name: DPM First Middle Coverage Reque.

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