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MAY. 19. 2009 3:14PM VAN BUERDEN INSURANCE N0.294 P. 2 <br />9/15/2009 <br />IMPORTANT <br />If the oertiflcate holder is an ADDITIONAL INSURED, the policy(m) must be endorsed. A statement <br />on this certificate does not confer rights to the oertifieate holder in Treu of wch endorsement(s). <br />if SUBROGATION IS WAIVED, subject to the terms and conditions of the Policy+ certain Policies rnvy <br />require an endorsement A sUdbement on this oemicaia does not confer rights to the certiRcate <br />holder in lieu of such endorsement(s). <br />DISCLAIMER <br />The Certificate of Insurance on the reverse side Of this form does not constitute a contract betveen <br />the issuing ineurer(e), authorized representative or producer, and the certificate holder, nor does it <br />afurnetively or negstiveiy amend, extend or after the coverage afforded by the policies listed thereon. <br />ACORD 28 ( W1l08) <br />9ar•e 7 wf 1 <br />