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Agmt04 Pump Repair Service
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Agmt04 Pump Repair Service
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Entry Properties
Last modified
11/5/2008 10:15:33 AM
Creation date
11/2/2004 8:15:50 AM
Metadata
Fields
Template:
Agreement
Contractor Name
Pump Repair Service Company
PROJECT NAME
utility systems pump repair
RMP File Number
304
Date
10/29/2004
MO Ref
05-181
Box
6593
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<br /> 10/20/2004 14:13 FAX 415 467 7442 Pl~P REPAIR SERVICE CO. ~010 <br /> I <br /> IMPORTANT <br /> If !he œrtJfIcate holder i5 an ADDmONAL INSURED,1he poncy(les) mu5t be endofBed. A slatament <br /> on 1I1is œrtifiœte does not confer rights to the certiflcate holder in lieu of sud1 endorsemen1(s). <br /> If SUBROGATION IS W^"'EO, subjaot iø 1hetermsand coor:4iticns ofihe policy, cari3in paliciae may <br /> require an endorsement. A statement on this certificate does not confer rights to the œrtifiœte <br /> holder in lieu of such endorsement(s). <br /> DISClAIMER <br /> The CerJificatB of Insurance on the reverse side of this form does not constiJutB a ocn1ract b8l.ween <br /> the issuing Insurer(s)J authorized representative or producer, and the œr1IfIcate holder. nor does It <br /> amrmatIvely or negatively amend, exrend or alter me coverage aTlbrded by1l1e poIlCleslisred 1I1erean. <br />I <br /> I <br />~COFID 2S-S (7/W) 2 of 2 '209981 <br /> Received 10-Z0-04 OZ:05pm From-415 467 744Z To-Redwood City PWS Pale 010 <br /> -.. ,."'_" ,.·.~·,,·....",.,___._,<-_..~.'.M._._,____"_._.. ,....~_",.,".._..__'_....~ , _~_.,_.__._.,,_...___~_..__ <br />
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