Laserfiche WebLink
<br />IMPORTANT <br /> <br />If 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 /> <br />If SUBROGATION IS WAIVED, subject to the terms and condijions 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 /> <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 tt <br />affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon, <br /> <br />.I "-,,,-) <br /> <br />,r'J..') <br /> <br />L~ <br /> <br />--- <br /> <br />'_ l.'i i-\L; <br /> <br />l:.'';~' <br />