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<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 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 iieu 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 />affirmativeiy or negatively amend, extend or ailer the coverage afforded by the pOlicies listed thereon. <br /> <br />\1 ;)R()\'Ef) /\S i';) l")i~jv~ <br /> <br />l?~,) It <br />.. 7'--;'~;;:L:;:;~;"~s:'i; r" :;j:~:;~~.:~: -'~-----_.- <br /> <br />',', I :-,!:;:~: { :: \',\ r I" :i'-).: \ <br /> <br />ACORD 25-5 (2001/08) <br /> <br />2 of 3 <br /> <br />#710020 <br />