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This certificate does not affirmatively or negatively amend extend or alter the coverage. The undersigned insurance broker or agent represents to the City of New York that the attached Certificate of Insurance is accurate in all material respects. Effective date named insureds policy number carrier naic code agency new york construction agency customer id.
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Ad Create Any Fillable Form with Editor. CERTIFICATE OF LIABILITY INSURANCE ADDL INSRD PRODUCER ACORD 25 200108 If the certificate holder is an ADDITIONAL INSURED the policyies must be endorsed. Addendum information certificate number.
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