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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: 3/1512005 11 :00 AM Page: 3 of 5 <br /> <br />IMPORTANT <br /> <br />If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed A statemenl <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 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 contract between <br />the issuing Insurer(s), authorized representallve 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 TU <br /> <br />l'Vh..,~ <br /> <br />7/./~>') '/1 <br /> <br />:.JUfQ Sutt Sh',;(;dy <br />'\:,,",btant City i\l!i)ífL..;\ <br /> <br />ACORD 25 (2001/08) <br />