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REV92514
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REV92514
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Entry Properties
Last modified
8/25/2016 3:13:56 AM
Creation date
11/21/2007 11:22:20 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984065
IBM Index Class Name
Revision
Doc Date
2/3/2006
Doc Name
Letter, Application & Public Notice
From
J.E. Stover & Associates Inc
To
DMG
Type & Sequence
RN5
Media Type
D
Archive
No
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29-JUN-2005 11:03AM FROM-Blanchard Insurance Group Inc. 8702458016 T-380 P.002/002 F-048 <br />IMPORTANT <br />N the cardflcate hdder Is an ADDITIONAL INSURED, the po0cy(las) must be endorsed. A statemerd <br />on this certltkzte does not cooler flghte m the cerdflcate holder in Ileu of such endoreemam(s). <br />N SUBROGATION IS W AIVEp, subJed to the tarots end condidons of the policy, certain poldes may <br />require an endprsement. A statement tm this cerdtlmta does not tooter dghts m the t~rtlflcata <br />hdder In lieu of sudt endarsemem(s). <br />pISCLAIME~R <br />The CerOflcate Ot Insurance do the reverse side d this form does oat wnsdlute a contract behveen <br />dta iewptg ineurer(e), autlmdzed representaflva or producer, and the cerdlMata holder, nor does a <br />aRlrtnedvely or negatlvely emend, OMend a alter 7te tsYerepe afforded dY>~ polldes il90ad thereon. <br />
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