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<br />OCT 19 2006 3,09 PM FR HRH INSURANCE-ORANGE633 8065 TO 19497526103 <br /> <br />P.03 <br /> <br />IMPORTANT <br /> <br />If the certificate holder ls an ADDITIONAL INSURED, the policy(ies) must be endorsed, A statement <br />on thi5 certificate does not confer rights to the certificate holder in lieu of such endolOement(s). <br /> <br />II SUBROGATION IS WAIVED, subject 10 .ho lOun, and condilions of the policy. certain policies may <br />require en endorsement. A statement on this certificate does not confer rights to the certificate <br />holder in lieu of such end"rsement(s). <br /> <br />DISCLAIMER <br /> <br />The Certificate of Insurance on the reverse side of this form does not constitute a contract between <br />ttJe i$iUing insurer(s). authottted representative or prodUCIif, and the certificate holder, nor does k <br />affirmatively Or negWv'ely amend. extend ()( alter the coverage afforded by the policies listed thereon. <br /> <br />,\?PRO'./L:,l AS TO FORM <br /> <br />:\4 <br />____I'fJ0 <br />,;t:,:u~r" "I " S'cJ',' <br />LA .,.c., .., ".10'- <br />l' ~,i~,t<Ll, ""':iry Attcr:,cy <br /> <br />ACORD 25-5 (2001/05) 2 of 3 <br /> <br />#S499497/M240730 <br />