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12/1/2007 17:14 FAX 003/004 <br />IMPORTANT <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 endwsement(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 s contract between <br />the issuing insurer(s), authorized representative or producer, and the certificate Polder, nor does it <br />affirmativey or negatively amend, extend or after the coverage afforded by the policies listed thereon. <br />ACORD 25S (2001106) 2 of 3 #1029309 <br />