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03-JUN-2005 12:12PM fR014-Blanchard Insurance Group Inc. 8702455016 <br />IMPORTANT <br />If the certlflcale holder Is an ADDITIONAL INSURED, lha pollcy(iae) mdst pa endorsed. A statement <br />on thle cenl0cata dose not confer fights to the certl0cate holder In Ilau of such endorsement(s). <br />li SUBROGATION 18 WAIVED, suhjed to the terms and condltlans of the policy, cenaln pollees mey <br />requlro en endorsement. A atatemant on lhls cerdtlcale does not t:on(er rights to the cerdticate <br />holder In Ileu of such endorsement(s). <br />DISCLAIMER <br />The CeNflceta of Insurance on the reverse afde of this form does not consdtute a contract 6etwesn <br />the Issuing Insurer(s), authorized rapresentetlve or producer, and the cerliflcate holder, nor tloee It <br />afflrmaUvely or negatively amend, axlend or altar the coverage afforded dy the pollees Ilslad thereon. <br />T-755 P.004/004 F-515 <br />