Laserfiche WebLink
<br />. OCT-24-2121I21B 1219: 1121 FROM:CVMA <br /> <br />9166469183 <br /> <br />TO:714 245855121 <br /> <br />P.2/3 <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 CQnfer 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 conler rights to the certificate <br />holder in lieu of such endor&emenl(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 represen1aWe or producer, and the certificate holder, nor does it <br />affirmatively or negabvely ..mend, extend or alter the coverage afforded by the policies listed thereon. <br /> <br />A.CORD 2512001108) <br />