CERTIFICATION BY BROKER. The undersigned insurance broker represents to the New York City Health and Hospitals Corporation that the attached Certificate of Insurance is accurate in all material respects, and that the described insurance is effective as of the date of this Certification. [Name of broker (typewritten)] [Address of broker (typewritten)]
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Samples: a856-cityrecord.nyc.gov, www.nyc.gov, www.nychealthandhospitals.org