contract agreement · K-2
Discussion and Consideration of Pay Application #12 – Miron Construction – Tiffin Recreation Center Project – Motion to Approve — K.2
Page 33 of 41
Text from the PDF text layer; check the PDF for anything that matters. AGENCY CUSTOMER ID: 00005714
LOC #:
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY NAMED INSURED
Phillips Stafford Insurance Group Phillips Floors Inc
POLICY NUMBER
CARRIER NAIC CODE
EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance
30 day notice of cancellation applies in favor of certificate holder.
ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Sources
- revize: K.2 (B2fPpimpwMa7H9wwbMqqtqg1yqDQuS.pdf) — where it was found ↗ first seen Oct 12, 2026
Attached to agenda item: K-2 Discussion and Consideration of Pay Application #12 – Miron Construction – Tiffin...
Data last updated October 16, 2026. Built from the archive's documents; see how the data is built.