Policy Number. Increasing Amount: Yes No Plan Name: If increasing, ultimate amount: Birth Date Tobacco Pref Last Name First Middle M/D/Y Sex Class Use Joint Insured Life Specify others, e.g. Second Life, Waiver, ADB, Previous inforce with co.: Of which we retain: Now applying for: Of which we will retain:
Policy Number. [_________]
Policy Number. 002500684 Insured: Xxxxxxxx X. Xxxx Issue Age: 37 Date of birth: 5/28/55 Issue Date: 3/28/92 Face amount of policy: $250,000 Amount reinsured by SECURITY: $50,000 Premium: Same as in the Agreement
Examples of Policy Number in a sentence
Company: Policy Number: My child/ward is covered by his/her school’s activities medical base insurance plan.
These products must be National Security Telecommunications and Information Systems Security Policy Number 11 (NSTISSP-11) compliant, requiring them to be validated by accredited labs under the National Cyber Security Partnership (NCSP) Common Criteria Evaluation and Validation Scheme or National Institute of Standards and Technology (NIST) Federal Information Processing Standards (FIPS) Cryptographic Module Validation Program (CMVP) or IC standards as applicable.
Acquisition Workforce Policy Number 064-04-011, Contracting Officer Warrant Program, establishes DHS policy and procedures on obtaining and maintaining contracting officer warrants.
Our name, the Policyholder's name and the Policy Number are shown above.
Your Claim must be sufficient to identify the Insured, the name of the Policyholder and Your Group Policy Number.
More Definitions of Policy Number
Policy Number. Effective From: _____________ To: ______________________ Verified by: ___________________________________________ COMERICA BANK - CALIFORNIA CALIFORNIA'S BUSINESS BANKS AUTOMATIC DEBIT AUTHORIZATION MEMBER FDIC (REVOLVER) To: COMERICA BANK - CALIFORNIA Re: LOAN # ___________________________________ You are hereby authorized and instructed to charge account No. _________________________ in the name of AVISTAR COMMUNICATIONS CORPORATION for principal and interest payments due on above referenced loan as set forth below and credit the loan referenced above. [X] Debit each interest payment as it becomes due according to the terms of the note and any renewals or amendments thereof. [ ] Debit each principal payment as it becomes due according to the terms of the note and any renewals or amendments thereof. This Authorization is to remain in full force and effect until revoked in writing. Borrower Signature Date -------------------------------------------------------------------------------- February 27, 2002 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- COMERICA BANK - CALIFORNIA CALIFORNIA'S BUSINESS BANKS AUTOMATIC DEBIT AUTHORIZATION MEMBER FDIC (EQUIPMENT LINE) To: COMERICA BANK - CALIFORNIA Re: LOAN # ___________________________________ You are hereby authorized and instructed to charge account No. _________________________ in the name of AVISTAR COMMUNICATIONS CORPORATION for principal and interest payments due on above referenced loan as set forth below and credit the loan referenced above. [X] Debit each interest payment as it becomes due according to the terms of the note and any renewals or amendments thereof. [X] Debit each principal payment as it becomes due according to the terms of the note and any renewals or amendments thereof. This Authorization is to remain in full force and effect until revoked in writing. Borrower Signature Date -------------------------------------------------------------------------------- February 27, 2002 -------------------------------------------------------------------------------- --------------------------------------------------------------------------------
Policy Number. 119921 Issued by: EMC Insurance Companies Providing for initial death benefit proceeds of $ 400,000 This policy is a life insurance policy on the life of Xxxxxxx X. Xxxxxxx. 177 EXHIBIT "A"
Policy Number. VP99999990 OWNER: LELAND STANFORD POLICY DATE: JAN 10, 1998 INSURED: XXXXXX XTANFORD RISK CLASS: MALE NONSMOKER AGE ON POLICY XXXX: 00 INITIAL FACE AMOUNT: $100,000 NOTE: IT IS POSSIBLE THAT COVERAGE WILL LAPSE IF THE ACCUMULATED VALUE IS INSUFFICIENT TO PAY THE CHARGES ASSESSED ON A MONTHLY PAYMENT DATE. BECAUSE THE ACCUMULATED VALUE MAY BE BASED ON THE INVESTMENT RESULTS OF THE VARIABLE ACCOUNTS, THE PAYMENT OF INITIAL AND PLANNED PREMIUMS MAY NOT BE ADEQUATE TO GUARANTEE THAT THE POLICY WILL REMAIN IN FORCE. IF THE POLICY DOES NOT REMAIN IN FORCE, THERE WILL BE NO DEATH BENEFIT OR ACCUMULATED VALUE. POLICY NUMBER: VP999999990 POLICY SPECIFICATIONS BASIC POLICY: FLEXIBLE PREMIUM VARIABLE LIFE INSURANCE PREMIUMS: PLANNED PERIODIC PREMIUM PAYMENT = $ X,XXX.XX GUIDELINE SINGLE PREMIUM = $ XX,XXX.XX GUIDELINE LEVEL PREMIUM = $ X,XXX.XX DEATH BENEFIT QUALIFICATION TEST: GUIDELINE PREMIUM TEST (THIS ELECTION IS IRREVOCABLE FOR THE LIFE OF THE CONTRACT) DEATH BENEFIT OPTION: A INTEREST ON EACH FIXED OPTION IS GUARANTEED TO BE NOT LESS THAN 3.00% ANNUALLY. IN ADDITION, ANY EXCESS INTEREST DECLARED BY US WILL BE GUARANTEED FOR ONE YEAR. PREMIUM LOAD: SEE POLICY CHARGE SPECIFICATIONS PAGE ADMINISTRATIVE CHARGE: $10.00 PER MONTH
Policy Number. [ ] Signed at Aetna's Home Office in Hartford, Connecticut Date of issue: [ ] on the date of issue. To take effect: [ ] Policy delivered in: New York This policy will be construed in [ line with the law of the State of delivery. President] Based on timely premium payments Aetna agrees with the New York State United Teachers Benefit Trust, to pay benefits [ accordance with the policy terms. Secretary] The duties and the rights of the policyholder will be based solely on the terms of this policy. This [ policy is non-participating. Registrar]
Policy Number. Face Amount:
Policy Number. G‐2021‐PREFERRED DIVE ACCIDENT (the “Policy”) Policyholder: XXX WORLD, LTD. (“XXX”) Policyholder Address: X.X. Xxx 00000, 000 Xxxxx Xxxxxx Xxx Xxxxxxxx Xxxxxxxx, Xxxxxxx Xxxxxx Xxxxxx Xxxx, Grand Cayman KY1 ‐1002 Cayman Islands XXX TravelAssist Benefits Benefit Limit Dive Accident Benefits Benefit Limit
Policy Number. [POLICY-NUMBER] Insurer: [INSURER]