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' rte: 9/7/2005 Time: 11:34 AM To: ® 96476515 <br />719-905-1910 Page: 004-006 <br />IMPORTANT <br />If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed A statement <br />on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) <br />If SUBROGATION IS WAIVED, subled to the terms and wnddions of the policy, certain policies may <br />require an endorsement. A statement on this certificate does not confer rights to the certificate <br />holder in lieu of such endorsement(s). <br />DISCLAIMER <br />The Certificate of Insurance on the reverse side of this form does not constitute a contract between <br />the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it <br />affirmatively or negatively amend, extend or aRer the coverage afforded by the policies listed thereon. <br /> <br />_.~~_ i <br />- ------ <br />:,i:. ti~ <br />ML.VRU LO (LUUI/Utl) <br />