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<br />',J-", 1.J( <;.1JUU l}!.':'O rr...\ <br /> <br />lfZJ UI1:$/ ()U~) <br /> <br />IMPORTANT <br /> <br />If the certificate holder is an ADDITICNAL INSURED, the policy(ies) must be endorsed. A statement <br />on this certlficate dt')es not confer rights to the certificate holder in lieu of such endorsement(s}. <br /> <br />If SUBROGATION IS WAIVED, sub;ect to the terms and conditions of the policy, cGrtain policies may <br />require an endorsement. A statement on tliis certificate dOBS not confer rights to the certificate <br />holdGr 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 is.suing insurer(s), authorized reprElsentative or producer, and the certlticate holder, nor dOBS it <br />affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. <br /> <br />.\ <br /> <br />~2/r <br /> <br />ACORO 25-5 (2001/08) <br /> <br />2 of 3 <br /> <br />#819530 <br />