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07-7158
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2007
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07-7158
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Last modified
3/6/2009 4:32:36 PM
Creation date
1/17/2008 8:51:28 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
07-7158
Building Department - Name
CHILI'S BAR & GRILL
Address
7643 GALL BV
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<br />, 11/8/2007 10:59 (813-909-8743 Paragon Risk Management Jean Shuff-'Southland Const Serv 2/2 <br /> <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 />ft-: INS025 COl 08).05 <br /> <br />Psgs 2 of 2 <br />
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