Form 3140F© 2004 Nationwide Publishing Company, Inc.http://www.claimspages.comHOLD HARMLESS AGREEMENTI/WE, the undersigned, in consideration of the payment of DOLLARS ($) to be paid by the ,hereinafter called the Company, do hereby agree to hold the Company harmless from any further claim inrespect to Policy No. or Certificate No. and it is further understood and agreed that in consideration of the payment of the above mentioned sum,we hereby release and relinquish all rights to collect from the Company under the above mentioned policyand/or certificate,... Download File
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