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<br />IMPORTANT <br /> <br />If the certificate holder is an ADDITIONAL INSURED, the pollcy(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 polley, 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 /> <br />"ra _F~OrtI~.1- <br /> <br />~~ 2111 <br />. -/.,2<-n__.~'h'---~!f"'__~~_w__.~ <br />~ - - ", ' 'c;Jy <br />, <-~.~y l-..ttC'";"';lC:\: <br /> <br />ACORD 25 (2001/08) <br />