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From; 11128I2011 121-02 #789 P.0021003 <br />11 /28/2011 09c36 9837851628 <br />MORRELL AUTO GROUP <br />NS RAN ~ UIREM T FIa VIT <br />TO BE CaMF'LETED BYAt'AROPRIATE iNSURANCE qGENT <br />nn sr E R rv N5a ,as AP aF Ip <br />PAGE a2/p9 <br />the undersigned agenf, Certify that the insurance requlrements cantained in #hfs btd <br />document have been revfewed by me with the belaw~(dentified <br />vendar/contractor/consultant/engirteer/architect, ff the betaw-Identified <br />vendor/cantraataricansultanUenglneer/archltect is awarded this contract by the Clty of <br />Paris, ! wi!{ be able, within ton (10) wotking days after being notifled af suoh award, tn <br />furn)sh a valid insurance certiflcate #o the City meeting aIl pf the requiremenis corttained Irâ–º <br />this bid. ~ <br />~ <br />: x~.----- <br />~ . ~ <br />'AgenYs Sign g <br />Agent Na (~rin# ar 7'YP ) <br />; <br />Name f Insurance Carrier <br />~c1 L m . NI 11-i vi_. Ls.1. <br />y . Address of AgerrCy <br />Phone <br />L7 ~ <br />Name of Vendor/Con <br />L a c.)d <br />(Print or Type) <br />SUBSCRIREb ANL1 $WC3RlV TCt bafore me this day of <br />STEPMAMIE D. N~CHQL$ ' , r . <br />MY COhbMtSSION ExfMRfS ' C~8MtWOer20, 2013 C!N0 ary. blic, 5tate of7exas <br />NpTE 7U AGENT: ' <br />If ihlr ttme raqufrement is nOt met, the Clty ha5 the rlght to declare khis vendor nan--resppnaiblo <br />and gward trie cantract to the next lowest bidder meeting the speclflcatlans. lf you have any <br />questions conGernin the5e rd ulremients lease contact the Cifyof Parie at (903} 785-7511, <br />L_I (1_4~~,5 ; 1,Q0 'U-1'1~ <br />-7 <br />~ <br />