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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(ies), 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 />eCL'xur,�,�m <br />25502010 1 SQW,oRA 1 15/16 Super Pool P&L I sEEASH BARKER 1 7/913015 4120:11 PM (PDT) I.Pe, ] f 4 <br />�l <br />