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i (print/type name), warrant that I have <br /> authority to bind the below listed insurance company and by my signature <br /> person do so bind this company <br /> SIGNATURE OF AUTHORIZED REPRESENTATIVE <br /> (Original signature required on <br /> Endorsement furnished to the City) <br /> ORGANIZATION TITLE <br /> ADDRESS TELEPHONE <br /> i <br /> i <br /> August 2001 Division IV-34 Ball Park& Park& Ride Wells Ph 1 <br />