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<br />.' <br /> <br />, -MAY-25-2005 WED 05:06 PM <br /> <br />FAX NO, <br /> <br />p, 03/04 <br /> <br />SANJOAQ-Q2 AYOA <br /> <br />IMPORTANT <br /> <br />If the certificate holder is an ADDITIONAL INSURED, the pollcy(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 rights to the certijicate <br />hoider in lieu of such endorsement(s). <br /> <br />DISCLAIMER <br /> <br />The Certificate of Insuran,;:e on the reverse side of this form does not constitute a contract between <br />the issuing insurer(s), eulhorl2ed 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 <br />AS TO FOIVW <br /> <br />\ /; <br />~- / <br />LauT; Slit~; <br />I\.ssist'" . heed}' <br /><dIt ell <br />Y Attorney <br /> <br />ACORD 25 (2001/08) <br />