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GENERAL36299
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GENERAL36299
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Entry Properties
Last modified
8/24/2016 7:56:55 PM
Creation date
11/23/2007 8:41:37 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981012
IBM Index Class Name
General Documents
Doc Date
10/15/2003
Doc Name
Certificate of Liability Insurance (faxed)
From
Putnam Agency, Inc
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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10-15-2003 01:3TPM FROM-Putnam aQertcv 606325TT37 T-063 P.003/003 F-492 <br />IMPORTANT <br />If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed_ A statement <br />on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />If SUBROGATION 1S WAIVED, subject to the terms and conditions of the policy, certain policies may <br />require an entlorsement. A statement on this certificate does not confer rights to the certificate <br />holder in lieu of such endorsement(s). <br />DISCLAIMER <br />The Certificate of Insurance on the reverse side of this forth does not constitute a contract between <br />the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it <br />affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. <br />
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