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<br />__.83/20t:2005 14: 38 <br /> <br />3230,504231 <br /> <br />~iJMC1~'j ~ESC)U~CES <br /> <br />PAGE 03 <br />GREA!..OS.o1 PAC!.. <br /> <br />" <br /> <br />IMPORTANT <br /> <br />If t~e certifiCllle 'cloer i. an ADDITIONAL INSURED, the pollcy(;e.) '"US! be endorsed. A slat.ment <br />on thi6 certlttGat. ooe$ not confer rigt\ts to the cBrtifl,eate holder in lieu of such endorsement(s) <br /> <br />If SUBROGATION IS WAIVED, ,ubjeellO the term, and conditions of the pelley, certain policies may <br />require an endorsement./4 9tarement on this cer!lficate does not confer right. to the certificate <br />ho4der in lieu of such endorsemen1(s) <br /> <br />DISCLAIMER <br /> <br />The Certificate of Insurance on the reverse side or this ferm does not constitute a contfset b.rween <br />the Issuing Insur.r(s), authorized representative or producer, IInO the certificate holder, nor do_It <br />affIrmatively or negatively amend, extend or alter the ccver.ge affordttd by the pOlicies listed thereon, <br /> <br />APPROVED AS TO FORM <br /> <br />/f<;.S ? 1:3 <br />, Laura Stitt Sheedy <br />'\s,:,;ist<1nt City Attorney <br /> <br />i <br />I <br />I <br />I <br />I <br />I <br />, <br />, <br />I <br />I <br />I <br />, <br />I <br />I <br />I <br />, <br />, <br />J <br /> <br />L <br /> <br />ACORD 25 (2ooMIS) <br /> <br />------- <br />