Compiled license agreement

By HNTB
Qwerty1234.pdf
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Uploaded By HNTB Representative on Tue Jul 12 2023

Uploaded Insurance

For Applicant
cert CLE Norfolk Southern Railway Co 7019694.pdf
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cert CLE North Carolina Railroad Co 7019695.pdf
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Upload Proof of Railroad Protective Liability Insurance for NCRR and NSR as specified in the body of the agreement and Exhibit B, Article 9.

Pay $1,900.00 Risk Financing Fee to be added to NSR's Master Railroad Protective Liability Insurance coverage, as described in the attached special provision.

Uploaded By Applicant's on Thu Jul 13 2023

Application Information

Application number: #o_h-097+4010
Form type: 210

Primary Contact

nope No name abc@gmail.com

street_address
representative_city representative_state
abc@gmail.com
111111

Billing Contact

Roham xyz@gmail.com

billing_street_address
billing_city
99999999

NCRR License Fee
1
$ 11
NSR Application Fee
1
$200
NSR Risk Finance Fee
1
$1900
Transaction Fee
$63
Total
$2174

Payment Method

Payment Type: stripe
Payment Received: $2174

PaidBy Applicant on Tue Nov 28 2023

AuthorizedBy Accountant on Tue Nov 28 2023

Sign Agreement

By Applicant

Agreement Signed.

SignedBy Eric Rouse on Wed Oct 11 2023

Validated Fee, Insurance and Agreement

For NCRR
Validate