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07-7285
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2007
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07-7285
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Last modified
3/6/2009 4:32:01 PM
Creation date
8/8/2008 7:12:10 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
07-7285
Building Department - Name
DAVIDSON,ALAN
Address
5117 GALL BV
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<br />12/11/2007 11:49 FAX 352 521 3053 <br /> <br />PETERSON INSURANCE <br /> <br />I4l 002/002 <br /> <br />IMPORTANT <br /> <br />If the certificate holdar is an ADDITIONAL INSURED. the pollcy(les) 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 />it.. INS025 (0108).O! <br /> <br />PllQ! 2 or 2 <br />
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