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CERTIFICATE OF LIABILITY INSURANCEDATE (MM/DD/YYY)01/09/2017THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT
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Certificate does not affirmatively is a form used to report when a statement or certification is not true.
Individuals or entities who are required to provide accurate information or certifications.
You must indicate the statement or certification that is not accurate and provide the correct information.
The purpose is to ensure that accurate information is reported and to address any discrepancies or inaccuracies.
You must report the inaccurate statement or certification and provide the correct information.
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