Coverage Forms
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NDIRF Coverage Forms |
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The NDIRF sells several lines of coverage, available to political subdivisions in North Dakota. The Memorandums of Coverage are included here for you to browse, print, or download. |
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| Business Auto | Forms | File Size | ||
| Automobile Memorandum of Coverage | BA 10 01 (07 22) | 299 KB | ||
| Automobile Memorandum of Coverage | BA 10 01 (10 18) | 375 KB | ||
| ND Added Personal Injury Protection Endorsement | BA 20 01 (01 91) | 187.9 KB | ||
| Stated Amount Coverage | BA 20 02 (07 07) | 273.9 KB | ||
| Loss Payable Clause | BA 20 03 (01 91) | 185.2 KB | ||
| Additional Covered Party | BA 30 01 (01 91) | 184.2 KB | ||
| Confirmation of Coverage | Forms | File Size | ||
| Confirmation of Coverage | IL 60 01 (05 12) | 183.8 KB | ||
| General Liability | Forms | File Size | ||
| General Liability Memorandum of Coverage | GL 10 01 (07 22) | 212 KB | ||
| General Liability Memorandum of Coverage | GL 10 01 (10 18) | 323 KB | ||
| Hired and Nonowned Auto Liability Endorsement | GL 20 01 (01 07) | 109.4 KB | ||
| Schedule of Covered Professional Services | GL 20 02 (01 12) | 279.3 KB | ||
| Garagekeepers Coverage Schedule | GL 20 03 (01 91) | 121.3 KB | ||
| Violent Event Coverage | GL 20 04 (10 18) | 201.5 KB | ||
| Data Breach Coverage Endorsement | GL 20 30 (08 22) | 157 KB | ||
| Data Breach Coverage Endorsement | GL 20 30 (08/18) | 254.5 KB | ||
| Additional Covered Party Endorsement | GL 30 01 (01 91) | 11.9 KB | ||
| Additional Covered Party Schedule | GL 30 03 (09 11) | 101.4 KB | ||
| Due Process Hearing Parent(s) or Guardian(s) Attorneys Fees Coverage |
GL 50 30 (12 12) | 14.9 KB | ||
| Due Process Hearing All Attorneys Fees Coverage | GL 50 31 (12 12) | 99.2 KB | ||
| Public Assets | Forms | File Size | ||
| Money and Securities Coverage Form | PA 10 04 (01 05) | 199.3 KB | ||
| Mobile Equipment and Personal Property Coverage Form |
PA 10 06 (02 18) |
247.0 KB |
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| Loss Payable Clause | IM 20 01 (01 91) | 185.3 KB | ||
| Animal Mortality Endorsement | IM 20 30 (11 12) | 394.9 KB | ||
| Money and Securities Schedule of Locations | IM 60 01 (01 98) | 183.7 KB | ||
| Added Operations Expense Schedule | IM 60 02 (01 98) | 183.8 KB | ||
| Public Assets Conditions | PA 80 01 (01 05) | 85.7 KB | ||
| Interline | Forms | File Size | ||
| Common Memorandum Conditions | IL 80 01 (07 22) | 87.8 KB | ||