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Get Corporation Of The City Of Kingston Certificate Of Insurance Form

T/ TENDER t o which t his cert ificat e applies M UST BE SPECI FI ED NOTE: ORI GI NAL CERTI FI CATES SI GNED BY YOUR I NSURER OR I NSURANCE BROKER ONLY WI LL BE ACCEPTED Nam e of I nsured Telephone Num ber ( St reet Nam e ( of I nsured) Type of I n su r a n ce )- - Cit y I n su r e r s N a m e Post al Code Effe ct ive D a t e YR MO DAY Policy N u m be r Ex pir y D a t e YR MO DAY Lim it s of Lia bilit y Com m ercial general liabilit y um brella excess ot her: Mot or vehicle.

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