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To: City <br />nta <br />Blanca <br />5-18-07 2:59pm P. 3 of 7 <br />IMPORTANT <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 />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 <br />holder in lieu of such endorsement(s). the certificate <br />DISCLAIMER <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 />AF'PPaU'/ f. , TO FORM <br />'(Aly <br />tiro; ;ev <br />I ACORD 25 (2001108) created at www.eCertsONLINE.com <br />