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<br />SEP-3o-2~04 THU 11:44 AN <br />, <br /> <br />FAX NO, <br /> <br />p, 03 <br /> <br />~ <br /> <br />SANJOACI-Q2 A YO, <br /> <br />IMPORTANT <br /> <br />If the certificate holdElt' is an ADDITIOIIIAL INSURED, the pollcy(las) must be endorsed, A statement <br />On this certifioete dCes not comer rijjhts to the certificate holder In lieu of such endorsement(s). <br /> <br />If SUBROGA'J'ION IS WAIVED, subject to the terms and condlnons cflhe policy, certain pOlicies may <br />require an endorsement. A statement Cn this certificate does not confer rights to <he certificate <br />holder In lieu of such endol"llement(s). <br /> <br />DISCLAIMER <br /> <br />The Certificate of Insurance on the reverse side of ihls form does not ctlnstilUle a contracl between <br />the issuing insurerls), authorized repre.entative or producer. and Ihe certificate holder, nor does n <br />effirmatlvely or negatively amend. exlend or alter the coverage afforded by the policies listed thereon. <br /> <br />~/.rj3 <br />