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<br />From: Chapman Cart Request At: Chapman Insurance FaxlD: Chapman Associates To: Laura Sheedy <br />... <br /> <br />Date: 4/26/2007 03:53 PM Page: 4 of 5 <br /> <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 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 /> <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 it <br />affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon <br /> <br />/\.7~;?\.C)-;'J 0~:: I..S "T() ?(}Xtl\l <br /> <br />~./~ -~- ~P-~_. <br /> <br />- .,'_"'" ('t~.~ .:.::~ <br />. . , . ; "L ,,~'. ~ - ~.....- <br /> <br />/: >J.:,~~_. j,- ',,-,.:~~ !'" ',,-- <br /> <br />ACORD 25 (2001108) <br /> <br />