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2007-05-11_GENERAL DOCUMENTS - C1981047
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2007-05-11_GENERAL DOCUMENTS - C1981047
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Last modified
8/24/2016 3:16:52 PM
Creation date
3/21/2008 2:15:28 PM
Metadata
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Template:
DRMS Permit Index
Permit No
C1981047
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
5/11/2007
Doc Name
Certificate of Liability Insurance (E-mailed)
From
Jim Stover
To
Joe Dudash
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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~~ <br />10-MAY-2007 04:59PM FROM-Blanchard Insurance/HUB InternationalSW 9702458016 T-74T P.005/005 F-524 <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 ir- lieu of such endorsement(s). <br />If SUBROGATION IS WAIVEp, subaect to the terms and conditions of the policy, certain policies may <br />require an endorsement. A statement an this certificate does not confer rights to the certificate <br />holder in lieu of such endorsement(s). <br />pISCI,AIMER <br />The Certificate of Insurance on the reverse side of this form does not constitute a contract between <br />the issuing insuirer{s), authorized representative or producer, and the certificate holder, nor does it <br />affirmatively or negatively amend, extend ar alter tho coverage afforded by the policies listed thereon- <br /> <br />
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