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<br />SEP-30-2~04 THU 11:44 AM <br /> <br />FAX NO. <br /> <br />... <br /> <br />IMPORTANT <br /> <br />If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be eodorsed. A statement <br />on this certificate does not confer rights to the certificate holder In lìeu of such endorsement(s). <br /> <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the pOlicy. certain pOlicies may <br />require an endorsement. A statement On this certificate does not confer rights to rhe certificate <br />holder In lieu of such endorsement(s). <br /> <br />DISCLAIMER <br /> <br />The Certificate 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 the certificate holder. nor does it <br />affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. <br /> <br />~/.d, <br /> <br /> <br />P. 03 <br /> <br />SANJOAQ-02 <br /> <br />AYDA <br />