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ATTENTION! This application will be considered only if accompanied by a sample of the Association’s letterhead.
I/We understand and accept that should this policy be issued by the Company, it provides coverage on a “claims made” basis for ONLY THOSE CLAIMS THAT ARE MADE AGAINST THE INSURED/POLICYHOLDER AND REPORTED TO THE COMPANY WHILE THE POLICY IS IN FORCE and that coverage ceases with the termination of the policy unless the Policyholder exercises the options available
and in accordance with the terms of the policy.