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GENERAL36008
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Last modified
8/24/2016 7:56:44 PM
Creation date
11/23/2007 8:34:17 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 Liability Insurance Response
From
Byron Walker
To
Jerry Nettleton
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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-~ . <br />Page 2 0£ 2 <br />IMPORTANT <br />If the cert~cate holder is an ADDITIONAL INSURED, the poficy(ies) must be endorsed. A statement <br />on this certlfiwte does rwt confer rights to the certficate holler in Iteu of such endorsement(s). <br />If SUBROGATION IS WAtVEp, subject to the terms end condttbns of fhe policy, certain pWicies may <br />require an entlorsement A statement on this certificate does not confer rights to the certfcate <br />holder in lieu of such endorsement(s). <br />DISCLAIMER <br />The Certifyate of Insurance on the reverse side of this form does not wnstitute a contract between <br />the issuing insurer(s), authorized representative or pratlucer, and the certificate holler, nor does R <br />affirmatlvely or negativety amend, extend a alter the coverage afforded by the pdiraes listed thereon. <br />cece: <br />
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