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FROM :CYSC FAY. NO. :909- 924 -9889 Sep. 05 2007 <br />IMPORTANT <br />it the certificate hoWar k an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement <br />on this certificate does not coned rights to the certificate holder in lieu of such endorsement(s). <br />If SUBROGATION IS WAIVED, subject to the terms and andilions of the policy, certain policies may <br />require an endorsement. A statement on this cartifiate does not confer rights to the certificate <br />holder in lieu of such sndersement(s). <br />DISCLAIMER <br />The Certificate of Insurance on the reverse side of this form don not constitute a contract between <br />the issuing insurer(s), authorized represantatrve or Producer, and the certificate holder, nor does it <br />affirmafrvety or negatively amend, Orland or alter the coverage afforded by the policies listed thereon. <br />ACDRO 75 (20010) <br />