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<br />03/26/200~ 13:33 FAX <br /> <br />IiIJ 003/QQ5 <br /> <br />IMPORTANT <br /> <br />If the certlftcate holder is an ADDITIONAL INSURED, the poliOY(Ies) mutt be endorsed. A slatemenl <br />on this certificate does not confer rights 10 the cartificaw holder in lieu of such endorsement(s). <br /> <br />If SUBROGATION IS WANED, subject 10 the terms and conditions of the policy. certain policies may <br />r"qulre an endorsement. A mtsment on this certificate does nol confer rights 10 the cert/flC8le <br />holder In lieu of su<:h eRdorsementls). <br /> <br />DISClAIMER <br /> <br />The Certificale of Insurance on the reverS9 skle of this form does not con$\ltute a contract between <br />the issuing Insurer(s), authorized representative or producer, and \he certificate holder, nor does n <br />affirmatively or negatively amend. exten<l Ot a~r the cov",sge afforded by the policies lisl~ thereon. <br /> <br />Af?',tOVED AS TO FORM <br /> <br />f;;:3 2/5 <br /> <br />'Laura Stitt Sheedy <br />Assistant CHy Attorney <br /> <br />ACORD 26-S (7/971 <br />