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<br />-. <br /> <br />Page 2 of :2 <br /> <br />IMPORTANT <br /> <br />If the certificate holder is an ADDiTIONAL INSURED, the policy(ies) must be endorsed. A statement <br />on this certificate does not confer rights to the certfficate holder in lieu of such endorsement(s). <br /> <br />If SUBROGATION IS WAIVED, subject to thB terms and conditions of the policy, certain policies may <br />require an endorsement. A statement on this certificate daBS not confBr rights to the certificate <br />hoider in iieu of such endorsement(s). <br /> <br />DISCLAIMER <br /> <br />The Certificate of Insurance on the reverSB side of this form does not constitute a contract between <br />the issuing insurer(s), authortzed representative or producer, and the certificate holder, nor does it <br />affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thBreon. <br /> <br />- co_) 1-('" '-I <br />/\PPRfYV~D A~) j 1_ -' L<,.J.~ <br />-~_JJ~____ <br /> <br />L: 'fa Sl'lt Sr..oJ) <br />As:.lstant City Allor:,.;' <br /> <br />ACORD:25 (2001/08) <br /> <br />Co11:1416960 Tp1:415118 Cert:6256413 <br />