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Get Surety Bond Certification Cs 072 Form

Identification Number Vehicle Liability Insurance Certification I certify under penalty of perjury that the minimum limits of insurance coverage are maintained with the following company: Name of Insurance Company Policy/Binder Number Name of Agent Certification of Workmen s Compensation Maryland State Workmen s Compensation Law requires employers with one or more employees and corporations to file a Certificate of Compliance. I/we certify coverage has been obtained as follows: Name of Ins.

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