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GENERAL43484
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GENERAL43484
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Entry Properties
Last modified
8/24/2016 8:12:14 PM
Creation date
11/23/2007 12:25:12 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981047
IBM Index Class Name
General Documents
Doc Date
5/16/2007
Doc Name
Certificate of Insurance
From
J.E. Stover & Associates Inc
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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10-t1AY-2007 04:59Pti FROId-Blanchard Inrurance/HUB IntarnationalSW 9701459019 7-747 P.005/005 F-524 <br />IMPORTANT <br />If the certificate holder is an ADDITIONAL INSUREp, the poiicy(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 SU9ROGATION IS WAIVEp, subject to the terms and conditions of the policy, certain policies may <br />require an endorsement. A Statement on thls certlflcate does not confer rights to the certificate <br />holder in lieu of such endorsement(s). <br />pISCI.AIMER <br />The Cert~Cate of Insurance on the reverse side of this form does not constitute a contract between <br />the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it <br />afflnnatively or negatively amend, extend or alter the coverage afforded by the policies listetl thereon. <br />
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