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R.B. WELDING INC. 2 - 2012
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R.B. WELDING INC. 2 - 2012
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Last modified
10/21/2013 11:26:34 AM
Creation date
8/10/2012 9:25:11 AM
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Contracts
Company Name
R.B. WELDING INC.
Contract #
N-2012-096
Agency
PUBLIC WORKS
Expiration Date
6/30/2013
Insurance Exp Date
9/20/2013
Destruction Year
2018
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />POLICY CHANGES <br />Policy Change <br />NumhPr 1 <br />POLICY NUMBER POLICY CHANGES COMPANY <br /> EFFECTIVE <br />00044992-2 10/24/2012 12:D1 AM JAMES RIVER INSURANCE COMPANY <br /> Standard Time at the <br /> address of the Named <br /> Insured <br />NAMED INSURED AUTHORIZED REPRESENTATIVE <br />RB Weldin Inc Richard J. Schmitzer <br />COVERAGE PARTS AFFECTED <br />ALL COVERAGE PARTS <br />CHANGES <br />ENDORSEMENT CHANGE <br />For no change in premium, <br />The following endorsement is added to this policy- <br />CG2010-0704-Additional Insured-Owners, Lessees or Contractors-Scheduled Person or Organization <br />CG2037-0704-Additional Insured-Owners, Lessees Or Contractors-Completed Operations <br />AP5031 US-041 O-Primary and Non Contributory Endorsement <br />ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. <br /> <br />Authorized Representative Signature <br />IL1201 EN 04-03 Page 1 of 1
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