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DATE (MM/DD/YYY)CERTIFICATE OF LIABILITY INSURANCE9/13/2017THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY
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Certificate number 17017889 is a unique identifier assigned to a specific certificate.
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Certificate number 17017889 must be filled out by providing the required information accurately and completely.
The purpose of certificate number 17017889 is to serve as a record of a specific certificate.
The information that must be reported on certificate number 17017889 may vary depending on the type of certificate.
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