Opcf 28 Reducing Coverage For Named Persons
Opcf 28 Reducing Coverage For Named Persons
Opcf 28 Reducing Coverage For Named Persons
This change applies only to automobile(s) number_________________ indicated on your Certificate of Automobile Insurance.
See your Certificate of Automobile Insurance for which automobile(s) this change applies to.
Please sign and return this form. Keep a copy for your records.
1. Purpose of This Change - This change is part of your policy. It reduces the coverages, limits and amounts for "Liability" and
"Loss or Damage" coverages shown on your Certificate of Automobile Insurance.
2. What We Will Cover - While ________________________ is driving the automobile, we will only provide the coverages
below, with the indicated limits and deductibles.
All other terms and conditions of your policy remain the same.
OPCF 28 (10/03)
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