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<br />,.. <br /> <br />~..t-e: t:l/J./~UU~ Time: 8:;l1 AM To: L;11;Y 0.1- ~ant.a Ana ~ ~,1.-11lli.'oq/-6S.30 <br />Page: 003 <br /> <br />I <br />i <br />I <br />I <br />I <br />! <br />i <br />I <br />I <br />I <br />I <br />, <br />, <br />! <br />I <br />I <br /> <br />IMPORTANT <br /> <br />if the certificatEt holder is an AOD,TtON.o.,L INSIj~EC, the poLcy(ies) must be endo-"Sed. A statement <br />on this certificate does not confer rights :c the certificate helder in lieu :)f such er;dorsement(s) <br /> <br />f SL.;8ROG.~ TlON IS WAIVED, subject to the terms and conditio:1s of the policy, certain policies ma}' <br />:equire an endo,sement. A 'Statement on this certificate does not conter rights to the certificate <br />'Foider in lieu of such endorsement(s) <br /> <br />DISCLAIMER <br /> <br />The Ce:Hicate of Insurance or. the re\erse siue Gf this flJrm does nQt constitute a cortract between <br />the issuing !ns.urer(s), authonzed representative or prOdl'cer, and the certificate holder, nor does it <br />affirmatively or negatively ?mend, e){teno or alter the coverage aftcrdeo by the policies listed therecn. <br /> <br />APPROVED AS TU F01\M <br /> <br />~) /~!i <br />,LJUfil \l i: ,\!,~cdy <br />!\~,;':ls1<I;)~ C,(\ "d ....;) <br /> <br />i <br />I <br />I <br />I <br />I <br />i <br />I <br />I <br />I <br />~ <br /> <br />~CORD 25 (2001/08) <br />