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9I1 9/27/2007 12;36 PM PAGE 3/004 Fax Server <br />IMPORTANT <br />F 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 holder in lieu of such endorsement's). <br />If SUBROGATION IS WAIVED, subject to the terms 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 />DISCLAIMER <br />The Certificate of Insurance on the reverse side of this form does not constitute a contract between <br />t',? issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it <br />aff!rmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. <br />CC RD 25 -S (2001/08) 2 of 3 #S2575/M2488 <br />