Laserfiche WebLink
<br />., <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 certificate holder in lieu of such endorsement(s). <br /> <br />If SUBROGATION IS WAIVED. subject to the terms and cond~ions of the poliCy. certain policies may <br />require an endorsement A statement on this certificate does not confer rights to the certmcate <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 contract 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 pOlicies listed thereon. <br /> <br />APPRUV <br /> <br />.\S TO FOR;\j <br /> <br />...... y~ -~LL. <br /> <br />'/C;;r:i \: ~( ,.:,.:,l.1 <br /> <br />ACORD 25-5 (719112 of 3 #S282550/Ml87077 <br />