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IMPORTANT <br />If the certificate holder as an A~DiTtpNAI_ INStJF~cC~, the policy{ies,> must be endorsed. A statement <br />on this oeriificate coe~s not cnnier rights to the t~:rGficate holder in tieu of such enrlcsrsementis). <br />If ~U6!iOGA~'fflN !~ bvAlV~la, suC7jcct ko ttre twsrrra :end conditions of the policy. certarn irnlicies may <br />require an endarsem€~nt. A statement on this rertiiiratf tines nrt t:nniPr rgtsts to the r~ertidicate <br />holder in lie~r of srrcts enticrscrrrnt(:s}. <br />DISCLAIMER <br />Th¢ CertifK-,~~tF ai insurance on the reverse side of thrs torm firms ntat cc~nstitr:te a rantract b~,twsen <br />the issuirx0 irrsured(sl, authorized represontattve tx prnducPr, :~nri the certiFicate balder. nnr tines it <br />affrr<=ati~fely car negative!•y~ amerti, extend ter after the rnvnrrrge rif'ftrrcteci h3~ the policies listed' therer~n <br />Revere of Page 1 <br />