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2007-12-03_GENERAL DOCUMENTS - C1981025
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2007-12-03_GENERAL DOCUMENTS - C1981025
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Last modified
8/24/2016 3:18:59 PM
Creation date
12/4/2007 2:17:09 PM
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DRMS Permit Index
Permit No
C1981025
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
12/3/2007
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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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 IS WAIVED, subject to the terms and conditions of the policy, certain policies may <br />require an endorsement. 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 form 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 />AI:VKU 1~-J tLUU'1/Uts) 2 of 2 #S2855/M2850 <br />
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