REQUEST FOR CERTIFICATE OF INSURANCE

Loss Payee clause information (can not. name. Certificate Holder as Loss Payee, we need to be named specifically as loss payee): LEASING SERVICES. c/o ABIC – Lease Insurance Services- 5th Floor. PO Box 979280. Miami, FL 33197-9280. Special Form Coverage, All Risk including theft. Effective and Expiration of Coverage ................
................