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<br />Nov 30 OS 10:2Ba <br />~~,Jv/~uua lU'~l ~AX lQO <br /> <br />I' -- <br /> <br />A.S. Founda~'on O.C. <br />3ZZ \\6S CASSWOOD AGENCY LTD <br /> <br />(9~91809-S7S2 <br /> <br />p.3 <br /> <br />Iil 0021003 <br /> <br />IMPORTANT <br /> <br />"1M "~rtlfic.'e holder,. 3n ADDITIONAL INSURED. tne PoIICY(le.) must be endorsed. A slatement <br />on \hI. cenlficale does not conte< rightS \0 the cer1iflCale holder In lieu of _uen endOrsement(s). <br /> <br />If SUBROGATION IS WAIVED. <lJbjec< '" lhe'erlTl.' .nd oonditrcms oltne POlICY. cenaln polICies may <br />requ"e an endOfscmenl. A 5talemenl on this certificate does not confer r.ghts 10 the cerllficale <br />hOlder In lieu of such e<IdOrsemenll_). <br /> <br />DISCLAIMER <br /> <br />The Certificate of In.urance on the reverse side of this form does not CX)n5t~ute a conlra\-1 between <br />the ir,M..llng lnsurer(s). authonzed represenlal'''e or producer, and the certtftr-..st~ ho\der, nor doc::> 11 <br />Dfli,rnClllivdy vr Ilegativt:'IV amend, ~.x.tend or alh:r the U)Ve1aye afturded by the volicie~ listed lherOOrl <br /> <br />.....7>s. dJ <br /> <br />ACORD 25 (2001108) <br />