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JUN -03 -2005 1148 13129225358 P.12i16 <br />IMPORTANT <br />If the certificate holder is an ADDITIONAL INSURED, the Pofwy(iss) must be endorsed. A statement <br />on this certificate does no( confer rights to ft certificate holder In Neu of such endorsament(s). <br />If SUBROGATION IS WAIVED, subOd to the terms and conditions 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 Neu 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 N <br />affirmatively or negatively amend, extend or agar the coverage afforded by the policies listed thereon. <br />APPROVED AS TO FORM <br />Laura Stitt S--1 <br />a sistan;. City AUornay <br />AcatDZS•s(IOetloe) 2 of3 +M1MA5 <br />