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<br />12/0702006 11:51 <br /> <br />5205719667 <br /> <br />KOTYLEAVIT <br /> <br />PAGE 03/05 <br /> <br />IMPORTANT <br /> <br />IllM cerlifloate holder i. en ADDiTIONAL INSURED, the policy(les) must be endorsed. A statement <br />on thiS eertlftcete does not confer Mghls to the ceJ1ifieale holder In lieu of such endorsement(s). <br /> <br />II SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, eert.1oin pc:>lici.. may <br />roqui.... on endorsement. A .wemoot On this oortlficat. doeo nol confar ri!lhts to th. certificate <br />holder in lieu of!Uch endorsement(s). <br /> <br />DISClAIMER <br /> <br />Th. c.rti1ioate of Insurance on the rove.... $ide of thl. form does not conotitule . contram between <br />the issuing insurer(9), authoriZed representative or producer, and the certificate holder, nor does it <br />eflirmatlvely or negatively emend. extend or 8~r the coverage afforded by th~ polieits 1i8ted thefllQn. <br /> <br />Af'PR.G <br /> <br />TO FORM <br /> <br />./ <br /> <br />cy <br /> <br />.>'.o;,:".U. <br /> <br />r;:lcr~,cy <br /> <br />,':\cc:~~\ ~ (2CC1iOS) <br />