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08-7810
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2008
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08-7810
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Last modified
3/6/2009 4:45:44 PM
Creation date
8/20/2008 10:50:50 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
08-7810
Building Department - Name
LENDALL,KNIGHT & CHRISTINA
Address
38711 EVELYN LN
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<br />IMPORTANT <br /> <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 /> <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 /> <br />DISCLAIMER <br /> <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 /> <br />ACORD 25-5 (2001/08) <br /> <br />2 of2 <br /> <br />#M2426815 <br />
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