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IMPORTANT <br />If the cerilflcate holder Is an ADDITIONAL INSURED, the policy(ies) must ba endorsed. A statement <br />on this certlticete does not confer. rights to the certltlcale holder In lieu of such endorsement(s). <br />If SUBROGATION IS WAIVED, subject to Iha terms and condlNons of the policy, certain policies may <br />require an endorsement. A statement on this eertiflceta does not confer rights to the certificate <br />holder Jn Ileu of such endorsement(s). <br />DISCLAIMER <br />The Certlllcate 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 Ilse certificate holder, nor does II <br />affirmatively or negatively amend, extend or alter the covarege afforded by the po{[cles listed thereon. <br />ppP?i©VED AS TO FORM <br />(?/. ? <br />? / / I/!?- <br />-'-" L1SA-E. STORCK <br />Assistant City Attorney <br />?? <br />EXHIBIT C