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<br />~eb .17 05 09:23a <br /> <br />RightFax <br /> <br />T11ar;1 <br />2/16/2005 6:34 <br /> <br />p.3 <br /> <br />PAGE 4/5 <br /> <br />RightFax <br /> <br />Page 2 gf 2 <br /> <br />IMPORTANT <br /> <br />11 the certificate holder is An ADDITIONAL INSURED, the poIJoy(I.,) mu,' be endo..ed. A state",.nt <br />on this oenlioOl. does not confer rlghlsto the clrtifica1<l holder In llou of such endorsemllnt(S). <br /> <br />If SUBROGATION IS WAIVED, subject 10 the terms and conditions Of the policy, canain flOUC;" may <br />require an endorsement. A statemen1 on this certifICate does not conler rights 10 the certifieate <br />holder in lieu of suoh end0r8em&nt(s). <br /> <br />DISCLAIMER <br /> <br />The Gertifioate gf Insurance on the reverse aide of this 'orm does not constitute 8 oon1ract between <br />the 'ssulng InsureJ(s), authorized represenlallve or producer. and the canllicste holder. nor doss it <br />affirmatively or negatively amend, extend or alter tho coverage afforded Ily the poIiCle$ listed thereon. <br /> <br />APPROVED AS TO FORM <br /> <br />~'213 <br /> <br />/ Laura Stitt Sheedy <br />Assistant City Attorney <br /> <br />"'COORD 25 (2001/Oll <br /> <br />co~~:1167132 TPl.328926 etrt.$119$11 <br />