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<br />IMPORTANT <br /> <br />II lI\e ce~lficale hokler i$ an ADDITIONAL INSURED, fhe policy(...) muS! be endOrsed, A Slalomont <br />on this certificale does not conler rrghls to the cer1i1icete holder in lieu of such endorsement(s), <br /> <br />If SUBROGATION IS WAIVED, subje<:t 10 the terms end sandmon. 01 the policy, certain pol":;,,. may <br />requite an endorsement. A statement on this cer1if1cate 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 constitu1e a contract between <br />the issuing insurer(s}, ~uthorized representative or producer I and the cenH1cate hokje,. nor does il <br />affirmatively or negalively amend. extend or alter the coverage afforded by the policies listed thereon. <br /> <br />ACORD 25 (2001/11I) <br /> <br />APPROVED AS TO FORM <br /> <br />~~ra :[(?;h~-JY <br /> <br />AS::'lstant City /\( wrnc\' <br /> <br />E'd <br /> <br />l:l" l Ll <br /> <br />"lv'SO SO II ~"W <br />