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period are subject to the terms, conditions, limits, including limits of liability, and exclusions of the <br /> policy. <br /> I hereby certify that the wording of this instrument is identical to the wording in 40 CFR 2$0.97(6)(2)and <br /> that the "Insurer" is eligible to provide insurance as an excess or surplus lines insurer, in one or more <br /> states". <br /> f <br /> [Signature of authorized representative of Insurer] <br /> Melissa Baker <br /> [Type name] <br /> Underwriter <br /> [Title] <br /> Authorized Representative of Liberty Surplus Insurance Corporation <br /> 55 Water Street, 1$`h Floor <br /> New York,NY 10041 <br /> Page 9 of 9 <br />