contract agreement · K-3

Discussion and Consideration of Pay Application #9 – Miron Construction – Tiffin Recreation Center – Motion to Approve — K-3

Dated February 17, 2026City Council — regular meeting, February 17, 2026 80 pages

Page 76 of 80

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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-3 (idkO7CGapkWzUtRwvHU907cOCEXEc7.pdf) — where it was found ↗ first seen Oct 12, 2026

Attached to agenda item: K-3 Discussion and Consideration of Pay Application #9 – Miron Construction – Tiffin...

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