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2007-05-11_REVISION - C1981047
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2007-05-11_REVISION - C1981047
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Last modified
8/24/2016 3:16:52 PM
Creation date
1/13/2009 10:38:52 AM
Metadata
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Template:
DRMS Permit Index
Permit No
C1981047
IBM Index Class Name
REVISION
Doc Date
5/11/2007
Doc Name
Email Regarding Insurance Certification
From
Jim Stover
To
DRMS
Type & Sequence
RN5
Media Type
D
Archive
No
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1 <br /> <br />10-MAY-2007 04:59PM FROM-Blanchard Insurance/HUB International SW 9702458016 T-747 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 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 />AGORD 25 (2001/08)
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