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Get TX TREC BE COI-1 2016

Signature of insurance agent licensed to do business in Texas CERTIFICATE HOLDER PHONE 512-936-3000 FAX 512-936-3864 BE COI-1 Certificate of Insurance 06/2016 Printed Name Date. Print Form STREET ADDRESS TEXAS REAL ESTATE COMMISSION 1700 N* Congress Ave. Suite 400 Austin Texas 78701 Telephone 512 936-3000 MAILING ADDRESS P. O. Box 12188 www. trec*texas. gov CERTIFICATE OF INSURANCE FOR A BROKER BUSINESS ENTITY For Informational Purposes Only The business entity shall furnish the Texas Real Estate Commission a new Certificate of Insurance not later than 15 days after the expiration of this Certificate of Insurance. This Certificate of Insurance expires on the date that the below named policy expires. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This Certificate of Insurance neither affirmatively or negatively amends extends or alters the coverage afforded by the policy specified herein* The aggregate limit is as specified in the policy. 1. Broker s Name Business Entity 5. TREC Broker License Mailing Address Insurance Company Policy Number Business Address Fixed Office Binders not accepted City State Zip Code Name of Policy Holder if group policy Term Dates Business Phone Email Address Effective Expired OR TEXAS SURPLUS LINE CO. NO. TEXAS ADMITTED CARRIER NO. 10. Name of Insurance Agency 12. Name of Agent 13. Agent Phone 11. Insurance Agency Address Number and Street 14. Policy Type OCCURRENCE CLAIMS MADE By my signature below as an authorized insurance agent licensed to do business in the State of Texas I hereby certify that the above policy meets the following minimum standards 1 provides for Errors Omissions E O insurance as required by 1101. 355 Texas Occupations Code and 2 is in a coverage amount of not less than 1 million per occurrence. Print Form STREET ADDRESS TEXAS REAL ESTATE COMMISSION 1700 N* Congress Ave. Suite 400 Austin Texas 78701 Telephone 512 936-3000 MAILING ADDRESS P. O. Box 12188 www. trec*texas. gov CERTIFICATE OF INSURANCE FOR A BROKER BUSINESS ENTITY For Informational Purposes Only The business entity shall furnish the Texas Real Estate Commission a new Certificate of Insurance not later than 15 days after the expiration of this Certificate of Insurance. O. Box 12188 www. trec*texas. gov CERTIFICATE OF INSURANCE FOR A BROKER BUSINESS ENTITY For Informational Purposes Only The business entity shall furnish the Texas Real Estate Commission a new Certificate of Insurance not later than 15 days after the expiration of this Certificate of Insurance. This Certificate of Insurance expires on the date that the below named policy expires. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This Certificate of Insurance expires on the date that the below named policy expires. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This Certificate of Insurance neither affirmatively or negatively amends extends or alters the coverage afforded by the policy specified herein* The aggregate limit is as specified in the policy. .

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