WebThe Certificate of Insurance on the reverse side of this form does not constitute a contact between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) INSR. LTR. ADD’L ... WebACORD 25-S (7/97) (DACORD CORPORATION 1988 30 policy project loc OFFSHORE TECHNOLOGY CONFERENCE 222 Palisades Creek Drive Richardson, TX 75080 CERTIFICATE HOLDER IS ADDITIONAL INSURED WITH RESPECTS TO GENERAL LIABILITY AND AUTOMOBILE LIABILITY COVERAGES. 1,000,000 250,000 10,000 …

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CANCELLATION REQUEST / POLICY RELEASE - WCF

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