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DISCLAIMER <br />The Certificate of Coverage on the revem side of this farm does not oanstltute a contract between the lssuirlg <br />entity(les), aut'nartzed representative or producer, and the certi lcate holder, nor does It affirmatively or negatively <br />amend, extend.or after the coverage afforded by the coverage documents fisted thereon, <br />u0prL�lnlin�.��nn <br />C=7 NO,i U7J3 02.2 CLIENT CODE, EOOTHORA At.illba NovajaM G/30/201A 10:48,35 AM (ppT) PH96 2 Of 3 <br />