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1) All certificates must be on the comprehensive accord form naming the city of Plattsburgh as additional insured. Must have 30 days written notice of cancellation.
2) GENERAL LIABILITY
PREMISES - OPERATIONS BI/PD $1,000,000.00 C.S.L./$2,000,000.00 AGGREGATE.
3) WORKER'S COMPENSATION AND DISABILITY BENEFITS.
It is my understanding that if I violate any of the provisions of the Ordinance, a copy of which I have read, that I shall be fined not less than $25.00 nor more than $100.00 for each offense and a separate offense shall be deemed committed on each day during or on which a violation occurs or continues.
License Issued By:_________________________________________
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