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<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 certificate hoider in lieu of such endorsement(s). <br /> <br />If SUBROGATION IS WAIVED, subject to the tenns 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 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 />/\TI}R{)\/;"D j.\" T'(, <br />~-' l,j i (./ F()j-\.;...l <br /> <br />"~'^-.- <br /> <br />_~L~ <br />,_.::..!.~:.~~~ ~=-;:--_._--- <br /> <br />[21:1. C.it)' A.i, <br /> <br />";--,,-, <br /> <br />ACORD 25 (2001/08) <br /> <br />Coll:1684855 Tpl:520840 Cert:7520116 <br />