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<br />IMPORT ANT <br /> <br />If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this <br />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 policy. certain policies may require an <br />endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such <br />endorsement(s). <br /> <br />DISCLAIMER <br /> <br />The Certificate of Insurance on the reverse side of this form does not constitute a contract bemeen the issuing <br />insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively <br />amend, extend or alter the coverage afforded by the policies listed thereon. <br /> <br />APPRO <br /> <br />" TO FORM <br /> <br />Y~Ll\ <br /> <br />L-dy <br />I, "- ,ij' /\l1orlley <br /> <br />A~:l;::'!~ <br /> <br />ACORD 25 (2001/08) <br />INS025 (0108) 06 AMS <br /> <br />Page2of2 <br /> <br />