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07-7087
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07-7087
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Last modified
3/6/2009 4:32:57 PM
Creation date
1/16/2008 10:32:53 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
07-7087
Building Department - Name
ZACK WILLIAMS TRUST
Address
6111 PLEASANT ST
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<br />IMPORTANT <br /> <br />If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s), <br /> <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an <br />endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such <br />endorsement(s), <br /> <br />DISCLAIMER <br /> <br />The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing <br />insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively <br />amend, extend or alter the coverage afforded by the policies listed thereon, <br /> <br />ACORD 25 (2001/08) <br />~Th1-INS025(0108).05 <br /> <br />Page2ot2 <br />
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