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12-21-2020 BOC Regular Meeting
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12-21-2020 BOC Regular Meeting
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Last modified
2/22/2021 11:31:47 AM
Creation date
2/22/2021 11:31:44 AM
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Admin-Clerk
Document Type
Minutes
Committee
Board of Commissioners
Date
12/21/2020
Book No
32
Page No
325
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POLICY NUMBER: CA 8 613 4 2 8 COMMERCIAL AUTO <br /> CA 20 48 02 99 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> DESIGNATED INSURED <br /> This endorsement modifies insurance provided under the following: <br /> BUSINESS AUTO COVERAGE FORM <br /> GARAGE COVERAGE FORM <br /> MOTOR CARRIER COVERAGE FORM <br /> TRUCKERS COVERAGE FORM <br /> With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by <br /> this endorsement. <br /> This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of <br /> the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. <br /> This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br /> below. <br /> Endorsement Effective: 12/14/20 Countersigned By: <br /> Named Insured:ASJ Wilson Construction LLC <br /> (Authorized Representative) <br /> SCHEDULE <br /> Name of Person(s)or Organization(s): Lee County Government and Sherman Architecture, PLLC <br /> (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as <br /> applicable to the endorsement.) <br /> Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that <br /> person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the <br /> Coverage Form. <br /> CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 <br />
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