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vr.23. 2004_10~26AM-INS CENTER~HARBOR 1NSURHNCE No•8040-P• <br />IMPORTANT <br />If the cert~cate holder is an ADDITIONAL INSURED, the poliey(ies) must b® endorsed. A statement <br />on this ceRifioate does not wnfer 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 the certificate <br />holder in lieu of such endorsement(s). <br />D15CLAIMER <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 />dffirmatively or negatively amend, extend or alter the coverage afforded by the polities listed thereon. <br />~C~ `~~-~ <br />Aeoao ze t2oo~roet <br />