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<br />From: Je:<sica Chavez-Roy At: Bolton & Co. FaxlD: Bolton and Company To: CITY OF SANTA ANA <br /> <br />'. <br /> <br />Date: 2/1712005 03:24 PM Page: 2 of 3 <br /> <br />IMPORTANT <br /> <br />If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be <br />endorsed. A. statement on this certificate does not confer rights to the certificate <br />holder in lieu of such endorsement(s). <br /> <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, <br />certain policies may require an endorsement. A statement on this certificate does not <br />confer rights 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 <br />contract between the issuing Insurer(s), authorized representatve or producer, and <br />the certificate holder, nor does it affirmatively or negatively amend, extend or alter the <br />coverage afforded by the policies listed thereon. <br /> <br />"':;';>'.:;i;l';',t~.-; <br /> <br />A.PPROVED AS TO Po <br /> <br />--~ c/, <br />Laura Stitt Sh -" . <br />A . eedy <br />,SSlstant City A <br />ttor'i, <br /> <br />" :I.:f't>:;....,r'i..~;!. . ,~.).-d,;_~,$ <br /> <br />-;~, k'r.~.2::.}~~..,; '.~ /,~'-~,:;:'-:, ''i..,'~, '._"'''':<;_"~;,.,'. ;.,\;~l'iJ. '; :..::n;s~: ^';tJ',t,t,-~~.",,' <br /> <br />-t . 1/' ':~-:' ,:"~r' :';.' <br /> <br />. :~,', <,". <br /> <br />, '-c_.' <br /> <br />ACORD 25 (2001/08) <br />