INSTRUCTIONS TO APPLICANT: Fees are due & payable at the time of application. Application fee is non-refundable.
$2,500 / Per Accident
$2,500 / Per Person
PROPERTY DAMAGE LIABILITY
Such policy may be written to allow the first fifty ($50.00) of liability to be deductible insofar as it relates to property damage.
INACCURATE OR INCOMPLETE INFORMATION MAY RESULT IN DENIAL OR REVOCATION OF LICENSE
DEPARTMENTAL REVIEW MUST BE SATISFACTORILY COMPLETED PRIOR TO OPERATION