299 Neb. Admin. Code, ch. 8, § 002
The certificate of coverage, as provided for in Section 001 of this Chapter for licensees obtaining the equivalent coverage specified in Section 004 of this Chapter, shall be signed by an authorized agent or employee of the insurance carrier and shall be in the following form:
NEBRASKA REAL ESTATE COMMISSION
CERTIFICATION OF COVERAGE
UNDER NEB. REV. STAT. SECTION 81-885.55
AND
299 N.A.C. CHAPTER 8
I hereby certify that the insurance company listed below has at least a "B+" rating from the A.M. Best Company Insurance Rating Service and maintains an AM Best Financial Size Category of Class VI or higher. I further certify that:
INSURED NAME:
LICENSE IDENTIFICATION NUMBER:
REAL ESTATE
COMPANY NAME:
ADDRESS:
POLICY NO.:
INSURANCE AGENT:
ADDRESS:
INSURANCE CO.:
ADDRESS:
POLICY DATES: Effective:__________________ Expiration:
SPECIFY WHETHER BLANKET OR INDIVIDUAL POLICY:
is insured against claims resulting from real estate licensee's errors and omissions and the above-referenced policy includes, at a minimum, the standards set forth in 299 N.A.C. Chapter 8 and the Nebraska Real Estate License Act.
It is further understood and agreed that coverage for the person(s) insured by this policy may not be terminated, cancelled, lapsed, or non-renewed, regardless of cause or reason, without the Company having provided the Director of the Nebraska Real Estate Commission with ten (10) days prior written notice.
SIGNATURE: _____________________________________ DATE:
(Insurance Representative)
TITLE:
299 Neb. Admin. Code, ch. 8, § 002