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Opcf 28a Form
Change - This change is part of the policy. Except for certain Accident Benefits it excludes all coverage when the person the AExcluded Driver named in paragraph 3 below drives the automobile s described in paragraph 2 below. Exclusions from Coverage - Except for certain Accident Benefits under Section 4 of the policy we will not provide automobile and any newly acquired automobile as defined in the policy. Automobile Model Year Trade Name Make Acknowledgement of Excluded Driver - I promise...
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