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DISCLAIMER <br />The Certificate of Coverage on the reverse side of this form does hot 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 alterthe coverage afforded by the coverage documents listed thereon. <br />)Yn "h <br />255/2010 1 60WHORA 1 15116 Super Pool P &L I OE6ANN BARKER 1 7/9/241$ 4:30:13 PM IMT) I Pn90 2 of 6 <br />