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vT.23, 2004-10~26AM-INS CENTER-HAR80R INSURANCE No•3040-P• <br />IMPORTANT <br />If the cert'fiicate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement <br />on this certificate does not confer rights t0 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 the certificate <br />holder in lieu of such endorsement(s). <br />DISCLAIMER <br />The Certificate oT Insurance on the reverse side of this form does not constitute a contract between <br />the issuing insurer(s), authorized representative ar producer, and the ceAificata holder, nor does it <br />affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. <br />~~ 3~3 <br />Acoao 2e t2ootroe) <br />