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GENERAL48712
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GENERAL48712
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Entry Properties
Last modified
8/24/2016 8:25:24 PM
Creation date
11/23/2007 4:30:54 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984065
IBM Index Class Name
General Documents
Doc Date
7/14/2003
Doc Name
Certificate of Insurance
From
CB Minerals
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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From: JES To: Byron Walker <br />Date: 7/142D03 Time: 2:14:44 PM <br />JUL-14-03 08:d6AM FRDM-BLANCNARD INSURANCE GROUP INC +OTOid66016 T-311 P-02/OZ F-066 <br />IMPORTANT <br />if the cerd5eate tloldar is an ADAITIONAL INSURED, me policy(iea) must Ea endor~d. A atatemer-t <br />en fits QaRtliQaTB dyes It01 aonlef A0~ ~ rtla certitleata holdor in lieu oT sutli entl«asmem(s). <br />14 SU9R0C3AT1(N4 IS WAIVED, Sutpett IO t11a 1arIT1a any oQRQMt7aB Dt itte pofiey, cenaia pollrsea may <br />ragvire en endorsement. A amtament on this osrtitieate tlo6a not oanfer figflle m me oergReata <br />nobler in 6eu of arrM endoreerrent(e). <br />D15CLAIMER <br />Pape 3 of 3 <br />Thy CeMflcam of RsuMnoe an Ata reverse aide of this iorm rWea nos oona0tute a convey trathean <br />fie iaBr++i(p Ineta6r(S), auVrorifetl repfa9em86v8 ar producer, any the cerd6cate twWar, nordoas a <br />u(nmwwaq or naguawry ernarw, wsarrd ur attar mo tvvarago afrwaeo try Ina pvlMea Rated Atarernt. <br />
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