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<br />Feb 05 04 09:31a T11a~1 <br />01-U5-10fl4 08:43am F'",,-CALIFORNIA SOUTHM:STERN INSUiANCE AGENCY <br /> <br />p.4 <br /> <br />949-588-8348 <br /> <br />T -859 <br /> <br />P.001/003 H56 <br /> <br />IMPORTANT <br /> <br />If the certificate holder ia an ADDITIONAL INSURED. the pollcy(les) musl be endorsød. A statement <br />on this certificatø does not confer rights to the certificate holder In Ueu of such endorsement(s). <br /> <br />¡fSUBROGATION IS WAIVED, subject 10 thetøm1S end conditions of the policy, certain policies may <br />require an endorsemenl. A Slatemant on this certmcate does not confer rlgntS 10 Ine certiticat8 <br />holder In lieu of such endorsemanl(s). <br /> <br />DISCLAIMER <br /> <br />The Certificate of Insurance on the reverse side of this form does not constitute a conlract between <br />the issuing insurer(s), authorized representative or producer, and tha osrtlficate hold..., nor does it <br />arrllTnatively Of negatively amend, e><lend Of alter the coverage afforded by the policies listed thereon. <br /> <br />.1f!jIJßcL¡ :.:V:> <br /> <br />-t£-3 <br /> <br />ACORD 25 (2001/01) <br />