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Get WA F700-014-000 2010

contracting activities? If “Yes”, will the vehicle(s) be used to transport workers? For each vehicle to be used, complete the following and supply evidence to prove liability coverage. (If more space is needed, attach additional sheets). Name of the insurance company Company’s address City State ZIP City State ZIP Business name of insurance agent Agent’s business address Agent’s business phone Policy Number Amount of coverage AS AN APPLICANT FOR A FARM LABOR CONTRACTING LICE.

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