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_ STANDARD CERTIFICATE OF INSURANCE
‘Tig form most be cieaplatad and signed by your neuer o Inpurance broker.
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2. Insurance company must be licensed to wperale in Canada.
“This Is to eneify thal the insured, named below, is insureds described ew,
sired: Hare & Address! “Wwaphene Nunber
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PROVISIONS: AMENDWENTS EXDORSEMENTS:
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1 FePveyes rice sha arpa eostea rote ecu marsane mace ose THE SPASATOR OF WEG RAGIEAEALS
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THE CORPORATION OF THECIY OF MAGARA FALLS:
LEGAL SERVICES
(10 QUEEN STREET, FO. BOX 1023
IAGARA FALLS, ONTARIO LEE 6X5