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<br />.. <br /> <br />."t.e: ~/l.!L:UU:O T1me: ~:~l AM To: L;J.t.y ot- banta Ana ~ ~,1-114-6"1 1-6S~O <br />Page: 003 <br /> <br />r <br />i <br />I <br />I <br />I <br />I <br /> <br />IMPORTANT <br /> <br />:f the certificate holder IS an Ai:>D:TIONAL INSUR:ED, the poLcy(les) must be endorsed. A statement <br />on this certificate does not confer rights:c the ce:tificate holder in lieu ~f such e,;dorsement(s). <br /> <br />-f SLBROG,~ TION IS W AJVED, subject to the :erms and conditlO:1S o~ the ~ollcy, certain policies ma)' <br />"equire an erdo;sement. A statement on this certificate does not COnier rights to the certificate <br />"lolder in lieu of s:.lch endorsement{s) <br /> <br />DISCLAIMER <br /> <br />The Ce1'ficale of Insurance O~ the re\erse ~1<.Je d thIS klrm does nGt consttute a cor tract between <br />the issuing Insurer(s), authorized representative or r-rOdl'cer, and the certificate holder, nor does it <br />affirma!il,'ely or negatively amend, eliteno or alter the coverage affcrded by !he policies listed therecn. <br /> <br />APPROVED AS TO FORM <br /> <br />Y>S7>~:;,1t/ <br /> <br />j:aur<.; ,\i,t[ ,;,;;ii~'('dy <br />A:,::'lSt:li:! c, "'1.[ "' ':\ <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />.....J <br /> <br />ACORD 25 (2001/08) <br />