It is hereby understood and agreed that if insurance is issued by virtue of completing this application, the Insurance
is only issued on the reliance on the applicant’s warranty of answers to the questions above. If, at the time a
certificate/policy is issued and ANY OF THE ABOVE WARRANTIES IS IN ANY RESPECT INCORRECT, INCLUDING
CLAIMS OR GROSS RECEIPTS, THE COVERAGE AFFORDED UNDER THE CERTIFICATE/POLICY shall, without notice
to the applicant, immediately and automatically cease, & the certificate/policy shall BECOME NULL AND VOID.