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LIEN ON ME 2 - 2006
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LIEN ON ME 2 - 2006
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Last modified
11/8/2017 10:20:57 AM
Creation date
5/26/2006 12:26:06 PM
Metadata
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Template:
Contracts
Company Name
Lien On Me
Contract #
A-2006-112
Agency
Personnel Services
Council Approval Date
5/1/2006
Insurance Exp Date
8/15/2018
Notes
Workers' Comp expires 06/01/09
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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 />/wvRY LO -0 JLUU I/UO) 2 W2 #151757 <br />
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