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<br />. .. <br /> <br />w <br /> <br />1I7 OCT" ..9:" <br /> <br /> <br />:IT ' OF SANTA ANA <br />GL ~RK OF COUNe. 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 /> <br />IMPORTANT <br /> <br />r <br />I <br /> <br />If SUBROGATION IS WAIVED, subject 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 lieu of such endorsement(s). <br /> <br />>-- <br /> <br />DISCLAIMER <br /> <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 alter the coverage afforded by the policies listed thereon. <br /> <br />ACORD 25-5 (2001/08) 2 of 2 <br /> <br />#S390469/M376371 <br />