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04-28-2025 Agenda Packet
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04-28-2025 Agenda Packet
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4/28/2025 4:57:11 PM
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4/28/2025 4:55:22 PM
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WC Carrier #3 Texas Mutual . . . .. . ............. . ... <br />WCCarrier #4 Texas Mutual <br />WC Carrier #5 Texas Mutual <br />Add an additional sheet if more. <br />E. List claims made against you by your employees or third parties for personal injury, death or property damage <br />on projects listed in Item A. <br />Project #1 None . . ................ .... . .. . ....... <br />Project #2 <br />Project #3 <br />Page 20 of 26 <br />
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