Laserfiche WebLink
<br />,,' <br /> <br />APR. . 6.2004 <br />. ' <br /> <br />3: 14PM <br /> <br />NO. 293 <br /> <br />P.3/31 <br /> <br />IMPORTANT <br /> <br />If the certificate holder is an ADDITIONAL INSURED, the pclicyliesl must be endorsed. A statement <br />on this certificate does not confer rights to the certificate holder in lieu of such endorsementls}. <br /> <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 /> <br />DISCLAIMER <br /> <br />The Certificate of Insurance on the reverse side of this form does not constitute a oontraCt 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 polioies listed thereon, <br /> <br />'P <br /> <br />Z(3ú <br /> <br />ACOIID 25-5 17197) <br />