Coverage Forms

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NDIRF Coverage Forms    

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.  

         
Business Auto   Forms   File Size
Automobile Memorandum of Coverage   BA 10 01 (08 15)   371.9 KB
ND Added Personal Injury Protection Endorsement   BA 20 01 (01 91)   412.3 KB
Stated Amount Coverage   BA 20 02 (07 07)   252.7 KB
Loss Payable Clause   BA 20 03 (01 91)   254.6 KB
Additional Covered Party   BA 30 01 (01 91)   222.7 KB
         
Confirmation of Coverage   Forms   File Size
Confirmation of Coverage   IL 60 01 (05 12)   294.6 KB
         
General Liability   Forms   File Size
General Liability Memorandum of Coverage   GL 10 01 (08 15)   319.1 KB
Hired and Nonowned Auto Liability Endorsement   GL 20 01 (01 07)   365.4 KB
Schedule of Covered Professional Services   GL 20 02 (01 12)   292.3 KB
Garagekeepers Coverage Schedule   GL 20 03 (01 91)   540.8 KB
Data Breach Coverage Endorsement   GL 20 30 (08/16)   258.4 KB
Additional Covered Party Endorsement   GL 30 01 (01 91)   217.9 KB
Additional Covered Party Schedule   GL 30 03 (09 11)   222.0 KB
Due Process Hearing Parent(s)
   or Guardian(s) Attorneys Fees Coverage
  GL 50 30 (12 12)   77.8 KB
Due Process Hearing All Attorneys Fees Coverage   GL 50 31 (12 12)   84.7 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 (05 10)   387.0 KB
Loss Payable Clause   IM 20 01 (01 91)   256.8 KB
Animal Mortality Endorsement   IM 20 30 (11 12)   110.8 KB
Money and Securities Schedule of Locations   IM 60 01 (01 98)   200.8 KB
Added Operations Expense Schedule   IM 60 02 (01 98)   196.0 KB
Public Assets Conditions   PA 80 01 (01 05)   85.7 KB
         
Interline   Forms   File Size
Common Memorandum Conditions   IL 80 01 (01 91)   5.6 KB