DS-15-1542Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-237766 Permit Number: DS -6-15-1542
Scheduled Inspection Date: June 29, 2015 Permit Type: Driveways/Sidewalks/Slabs
Inspector: Rodriguez, Jorge
Inspection Type: Final
Owner: MCHALE, EDWARD Work Classification: Repair
Job Address: 9500 NE 12 Avenue
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060143640
Project: <NONE>
Contractor: TCS EMPIRE INC Phone: (305)234-8355
Building Department Comments
REPLACE 1 SQUARE OF SIDEWALK
INSPECTOR COMMENTS False
June 26, 2015 For Inspections please call: (305)762-4949 Page 21 of 28
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
June 26, 2015 For Inspections please call: (305)762-4949 Page 21 of 28
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number Applicant
9500 NE 12 Avenue 1132060143640
EDWARD MCHALE
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
EDWARD MCHALE 9500 NE 12 Avenue
MIAMI SHORES FL 33138-2543
Contractor(s) Phone Cell Phone
TCS EMPIRE INC (305)234-8355
In Review
Date Approved:: In Review
Date Denied:
Type of Work: REPLACE 1 SQUARE OF SIDEWALK Additional Info:
Bond Retum : Classification: Residential
Scannina: 3
Fees Due
Amount
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$100.00
Scanning Fee
$9.00
Technology Fee
$0.80
Total:
$114.60
Valuation: $ 500.00
Total Sq Feet: 25
Pay Date Pay Type Amt Paid Amt Due
Invoice # DS -6-15-56064
06/23/2015 Check #: 600492 $ 114.60 $ 0.00
Ayaname Inspections:
Inspection Type:
Final
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accur d that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-named cerffrpctor to cjb tqpAVrk stated.
June 23, 2015
Authorized Signature: Owner /
Building Department Copy
��
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL [—]PUBLICWORKS
JOB ADDRESS: 9500 NE 12 Avenue
FBC 20 fC:D
Master Permit No.y SH
Sub Permit No.
❑ REVISION ❑ EXTENSION []RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County Miami Dade Zip:
Folio/Parcel#: 11-3206-014-3640 Is the Building Historically Designated: Yes NO XXX
Occupancy Type: Resdenbal Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Edward F Mchale Phone#: (305) 812-0876
Address: 9500 NE 12 Avenue
City: Miami State: FL Zip: 33186
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: TCS Empire, Inc. Phone#: (305) 234-8355
Address: 14629 SW 104th Street, Suite 518
City.
Miami State FL Zip; 33186
Qualifier Name: Angel M Pareja Phone#: (305) 234-8355
State Certification or Registration #: CGC 1504111 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 500 Square/Linear Footage of Work: 25 sq. ft.
Type of Work: ❑ Addition ❑ Alteration ❑ New 7 Repair/Replace ❑ Demolition
Description of Work: Replace 1 square of sidewalk
Submittal Fee $--)L-J ° Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ `` 11 t 4+. //''``
TOTAL FEE NOW DUE $ l\ . 60
(Rev(sed02/24/2014)
City State Zip
City
State
Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FIN LING-.-aMSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
Notice t. Appli a c ndition to the issuan of a building permit with an estimated value exceeding $2500, the applicant must
promise 'n good fait th of the notice of mmencement and construction lien law brochure will be delivered to the person
whose perty is s ject ac nt. Also, a cert ied copy of the recorded notice of commencement must be posted at the job site
for the r st inspecto curs s n (7) dayser the building permit is issued. In the absence of such posted notice, the
inspecti will ne appro, d a d a reins ctic fee t/ be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of 20 15 by
DWfi40 F' who is personally known
r,oe or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
APPROVED BY
(Revised02/24/2014)
# EE 198416
28,2D16
as
The foregoing instrum��ery was acknowledged before me this
day of. 1,2e— , 20 /�, by
��1-1'✓�� who is personally known to
me or who has produced L as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Seal: �ft � Notary Public State of Florida
Joanna M Feliciano
My Commission FF 082753
orw Expires 01/12/2018
'04011 �
Plans Examiner
Structural Review
Zoning
Clerk
Miami Shores Village
Building Department
CONTRACTORS' REGISTRATION
IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR:
A. XXXX COPY OF QUALIFIER'S STATE LICENCES
B. XXXX COPY OF LOCAL BUSINESS TAX RECEIPT
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
C. COPY OF LIABILITY INSURANCE*
D. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY:
A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL
CONTRACTOR'S TAX RECEIPT.
D. COPY OF LIABILITY INSURACE*
E. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
*YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW:
Certificate Holder:
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
Certificate must specify the description of operations or contractor license number.
■■rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr■
BUSINESS NAME: TCS Empire, Inc.
BUSINESS ADDRESS:
14629 SW 104 St. #518
BUSINESS PHONE:3(, 05 ) 234-8355
CELL PHONE31 05 ) 979-4561
CITY Miami
STATE FL Zip 33186
FAX NUMBER3( 05 ) 675-0342
QUALIFIER'S NAME: Angel M Pareja
QUALIFIER'S LIC NUMBER: CGC 1504111
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
' 1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
PAREJA, ANGEL M
TCS EMPIRE INC
14629 SW 104 STREET SUITE 518
MIAMI FL 33186
Congratulations! With this license you become one of the nearly
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range
from architects to yacht brokers, from boxers to barbeque restaurants,
and they keep Florida's economy strong.
Every day we work to improve the way we do business in order to
serve you better. For information about our services, please log onto
www.myfloridalicense.com. There you can find more information
about our divisions and the regulations that impact you, subscribe
to department newsletters and learn more about the Department's
initiatives.
Our mission at the Department is: License Efficiently, Regulate Fairly.
We constantly strive to serve you better so that you can serve your
customers. Thank you for doing business in Florida,
and congratulations on your new license!
DETACH HERE
RICK SCOTT, GOVERNOR
(850) 487-1395
3STATE OF FLORIDA
3 DEPARTMENT OF BUSINESS AND
PROFESSIONAL REGULATION
CGC1504111 'ISSUED: 08/14/2014
CERTIFIED GENERAL CONTRACTOR
PAREJA, ANGEL:M
TCS EMPIRE INC
IS CERTIFIED under the provisions of Ch.489 FS.
Expirationdate AUG31,2016 L140814000IB64
KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
CGC1504111
The GENERAL CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2016
o a
PAREJA, ANGEL M
TCS EMPIRE INC
14629 SW 104 STREET SUITE 518
MIAMI FL 33186
ISSUED: 08/14/2014 DISPLAY AS REQUIRED BY LAW SEQ IN L1408140001864
0001126
Local Business
Miami -Dade County,
-THIS IS NOT A SILL
6519871
BUSINESS NAMEMOCATION
TCS EMPIRE INC
14629 SW 104 ST 518
MIAMI FL 33186
Tax Receipt
State of Florida
- DO NOT PAY
j tt
1
RECEIPT NO. EXPIRES
RENEWAL SEPTEMBER 30, 2015
6790209 Must be displayed at place of business
Pursuant to County Code
Chuptor 8A -Art. 9 & 10
OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED
TCS EMPIRE INC 196 GENERAL BUILDING CONTRACTOR By TAX COLLECTOR
Worker(s) I CGC1504111 $75.00 09/29/2014
ECHECK-14-145295
This local Business Tax Receipt only confirms payment of the local Business Tax. The Receipt is not a license.
permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental
or nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT N0. above must be displayed on all commercial vehicles - Miami -Dade Code Sec Ba -276.
For more information. visit wwwAlln pffidQ.yov/taac0110C191
TCSEM-1 OP ID: SD
CERTIFICATE OF LIABILITY INSURANCE
COVERAGES CERTIFICATE NUMBER REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
DATE06/19/2015Y)
06!19/2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
Kahn -Carlin & Company, Inc.
3350 S. Dixie Highway
Miami, FL 33133-9984
CONTACT
PHONE FAX
A/c No Fd); 305 A No: 305-448-3127
ADoliEss: processing@kahn-carlin.com
INSURER(S) AFFORDING COVERAGE NAIC #
11/15/2014
INSURERA:Arch Insurance Company 11150
EACH OCCURRENCE $ 1,000,00
INSURED TCS Empire, Inc.
14629 SW 104 Street, #518
Miami, FL 33186
INSURERS:
INSURERC:
GENERAL AGGREGATE $ 2,000,00
INSURER D:
INSURER E:
$
INSURER F :
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
COVERAGES CERTIFICATE NUMBER REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
UBR
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS-MADEI OCCUR
�AGI_000649401
AUTHORIZED REPRESENTATIVE
11/15/2014
11/15/2015
EACH OCCURRENCE $ 1,000,00
PREMISES Ea occu encs $ 100,00
MED EXP (Any one person) $ 5>00
PERSONAL & ADV INJURY $ 1,000,00
GENERAL AGGREGATE $ 2,000,00
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO LOC
PRODUCTS - COMP/OP AGG $ 1,000,00
$
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
COMBINED SINGLE LIMIT
Ea .,dent)S
BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $
PER ERTY DAMAGE $
—
_
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE $
AGGREGATE $
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N f A
WC STATU- OTH-
TORY LIMIT ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYE $
E.L. DISEASE -POLICY LIMIT $
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
General Contractor - License CGC1504111
CFDTIGICATG 1-1(11 nr-O rANrFI I ATION
MIAM-03
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Miami Shores Village
Building Department
10050 NE 2nd Avenue
AUTHORIZED REPRESENTATIVE
Miami Shores, FL 33138
U 19BI1-ZU1 U ACUKU UUKFUKA I IUIV. All rlgnis reserVeo.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
ACCMD CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
06/19/2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy (ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions
of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such
endorsement(s).
PRODUCER
FrankCrum Insurance Agency, Inc.
100 South Missouri Avenue
Clearwater, FL 33756
CONTACT NAME:
PHONE A/C, No, Ext): 1-600-277-1620 x4800 FAX A/C, No): 727 797-0704
E-MAIL ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC#
INSURER A: Frank Winston Crum Insurance Co. 11600
INSURED
FrankCrum L/C/F TCS Empire, Inc.
100 South Missouri Avenue
Clearwater FL 33756
INSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURER F:
CnVFRAGFS CFRTIFICATF NI)MRFR: 319420 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSRTYPE
LTR
OF INSURANCE
ADDL
INSRD
SUBR
WVD
POLICY NUMBER
POLICY EFF
(MWDDYYY)
IY
POLICY EXP
(MWDDNYYY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
GE TO RETED
PREMSES Ea occurrence
$
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OP AGO
$
$
POLICYf—I PROJECT F7LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident)
$
BODILY INJURY (Per person)
$
ANY AUTO
BODILY INJURY (Per accident)
$
ALL OWNED SCHEDULED
AUTOS AUTOS
PROPERTY DAMAGE
Per accitlent
$
HIRED AUTOS NON -OWNED
AUTOS
UMBRELLA LIAR
OCCUR
EACH OCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY Y/N
WC201500000
01/01/2015
01/01/2016
I WC
X STATUTORY
LIMITS
O
ERR
E.L. EACH ACCIDENT
$1.000.000
ANY PROPRIETOR/PARTNERIEXECU'rIVE
OFFICERIMEMBER EXCLUDED? Q
N/A
E.L. DISEASE -EA EMPLOYEE
$1,000,000
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks, Schedule, if more space is required)
Effective 04/06/2015, coverage is for 100% of the employees of FrankCrum leased to TCS Empire, Inc. (Client) for whom the client is reporting hours to
FrankCrum. Coverage is not extended to statutory employees.
General Contractor - License CGC1504111
® 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Miami Shores Village Building Department
10050 NE 2nd Avenue
Miami Shores, FL 33138
® 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
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