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fillable version cg 25 03 11 85
fillable version cg 25 03 11 85

Fillable SUPPLEMENTAL INSURANCE CERTIFICATE - sucf suny

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SUPPLEMENTAL INSURANCE CERTIFICATE This form supplements the certificate of insurance and/or workers' compensation/NYS disability documentation as specified by contract. Contractor/Vendor/Policyholder: ___ All Work under Project/Agreement: ___ ___ Complete/check appropriate boxes: Commercial General Liability (CGL) Insurance a. Does the General Aggregate reflect a per-project aggregate endorsement (ISO form CG...
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