Certificate Of Coverage - South Dakota Real Estate Commission - Real Estate Agent'S Errors & Omissions Insurance Form

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CERTIFICATE OF COVERAGE
SOUTH DAKOTA REAL ESTATE COMMISSION
REAL ESTATE AGENT’S ERRORS & OMISSIONS INSURANCE
For those South Dakota licensees insured by a private carrier pursuant to SDCL 36-21A-119 to
36-21A-123, and ARSD Chapter 20:69:15
I certify that the insurance company listed below is an admitted carrier in South Dakota. I
further certify that:
Licensee Name:______________________________________________________________
License Number:____________ Type:
Broker_______ Sales_______ Auctioneer_______
Property Manager_______ Licensed Firm_______
Real Estate Company:_________________________________________________________
Address:___________________________________________________________________
is insured against claims resulting from professional acts for real estate brokerage as
contemplated in SDCL 36-21A-6 and 36-21A-12 and conditions of coverage as those required
by the South Dakota Real Estate Commission specifications contained in ARSD Chapter
20:69:15.
If coverage for the licensee insured in this policy is to be lapsed or nonrenewed, the providing
company must notify the South Dakota Real Estate Commission, 221 West Capitol Ste 101,
Pierre, SD 57501-2017 of its intent to lapse or nonrenew the coverage a minimum of 30 days
before the expiration date of the term.
If the insurance is cancelled for non-payment of
premium, the company must notify the Commission at time of cancellation.
Insurance Company Name:_____________________________________________________
Company
Address:___________________________________________________________________
Policy Number:___________________
Effective Dates:
from__________ to__________
Policy Limits:
Each claim__________;
Aggregate__________
Deductible__________
By:___________________________________________________ Date:________________
(Authorized Representative of insurance company)
Address:___________________________________________________________________
SDREC-E&O CERT (12/99)

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