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GENERAL31342
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Last modified
8/24/2016 7:54:32 PM
Creation date
11/23/2007 6:59:05 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
10/18/2005
Doc Name
Certificate of Insurance
From
Byron Walker
To
Jerry Nettelton
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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Page 2 of 2 <br />IMPORTANT <br />If the certificate holder is an ADDITIONAL INSURED, the poficy(ies) must be endorsed. A statement <br />on this certifipte does trot confer rights to the cerifipte holder in lieu otsuch endorsement(s). <br />If SUBROGATION IS WAIVED, subject to the terms end condRbns of the policy, certain policies may <br />require an entlorsement A statement on this certllicete does not confer rights to the cerfficate <br />holder in lieu of such endorsement(s). <br />DISCLAIMER <br />The Certificate of Insurence on the reverse side of this form does not constitute a contrail between <br />the issuing insurer(s), authorized representative or producer, and lbe certificate holder, nor does it <br />afBnnatively or negativey amend, extend or after the coverege afforded by the poicies listed thereon. <br />ecor:o ~sr~ommar r.,n .ia»n~ m,i .aiexo~ <br />
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