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2008-11-07_GENERAL DOCUMENTS - C1980006 (2)
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2008-11-07_GENERAL DOCUMENTS - C1980006 (2)
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Last modified
8/24/2016 3:37:47 PM
Creation date
12/3/2008 2:00:28 PM
Metadata
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Template:
DRMS Permit Index
Permit No
C1980006
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
11/7/2008
Doc Name
Certificate of Liability Insurance (Faxed)
To
DRMS
Permit Index Doc Type
Insurance
Email Name
JHB
Media Type
D
Archive
No
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From: Terri S. Montag At: Brown & Brown Ins FaxID: Brown and Brown Insu To: Janet Binns <br />Date: 11/7/2008 08:13 AM Page: 6 of 7 <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 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.
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