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<br />From: Sandi WFredericksen At: Wood-Gutmann Insurance Brokers FaxlD: 714-573-1772 To: Laura/City of Santa Ana <br /> <br />Date: 3/15f2005 11:00 AM Page: 3 of 5 <br /> <br />I M PORT ANT <br /> <br />If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed A statement <br />on this certificate does not confer rights to the certificate holder In lieu 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 lights to the 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 />APPROVED AS TO ¡'h~,,, <br /> <br />1,.,>.,' <br />'-.-...... '-.. ' <br />, " I <br /> <br />/1 <br /> <br />>.dura Slilt Shc¡:uy <br /> <br />.\,,:~,¡::>tanl CllY <br /> <br />f\ ¡ ('),fI~;\ <br /> <br />ACORD 25 (2001108) <br />