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<br />ACORD 25-S (7/97) <br /> <br />IMPORTANT <br /> <br />If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) 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 1$ WAIVED, subject to the terms and conditions of the policy. certain poHcies may <br />require an endorsement. A statement on this certificate does not conter 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 constitute a contract between <br />the issuing insurer(s), authorized representative 01 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 />A_epp,,-'u'/ c, <br /> <br />I' <br />;. ~) <br /> <br />I-'C) FO ~-t.I\1 <br /> <br />---- r ~/:S- <br />-'-'-~ <br />,., (.,-" c: _ 1 <br />i li"", d --'L~'_Ui <br /> <br />.-,t,-: C:;ty'\ 1,(i.\',_'V <br /> <br />created at www.eCertsONlINE.com <br />