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DISCLAIMER <br />The Certificate of Coverage on the reverse side of this form does not constitute a contract between the Issuing <br />entity(tes), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively <br />amend, extend or alter the coverage afforded by the coverage documents listed thereon, <br />V( C! To V010 <br />pRCK <br />IS AttarneY <br />Assistant GitY <br />CERT NO- 11656359 CLIENT CODE: SOVIHORA N.el3eea PagnMf 0 11/16/2011 9:53:36 PH Page 2 Of 3