WARNING!! Caution: These forms are provided as a courtesy by Seneca Insurance Company. The forms come with NO WARRANTY of any kind, either expressed or implied, including but not limited to the implied warranties of fitness for a particular purpose, merchantability, and freedom from infringement. It would be a MISTAKE to use any of these forms without first determining their suitability and legal effect within the state or states in which you hope to use them. If you download any form you must be aware that downloading carries with it the possibility of transmitting a COMPUTER VIRUS to your computer. Seneca Insurance Company, Inc. provides these forms for its appointed California agents. Any use by you of these forms or any information contained in the forms will act as consent by you to the exclusive venue and jurisdiction of the State of California. These forms are governed by the laws of the State of California, California Department of Insurance. Since we cannot control your use of these forms, you must HOLD US HARMLESS from any claims or expenses we suffer as a result of your use of these forms. This duty of indemnity should underscore your need to be very careful in how you use these forms.

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