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IMPORTANT <br /> If the certificate holder is an ADDITIONAL INSURED, the policy(iesl must be endorsed. A statement on this <br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an <br /> endorsement. A statement on this certifcate does not confer rights to the certificate holder in lieu of such <br /> endorsement(s). <br /> DISCLAIMER <br /> The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing <br /> insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively <br /> amend, extend or alter the coverage afforded by the policies listed thereon. <br /> ACORO 2512001/Oa) page 2 of 2 <br /> <br /> INS025loioel oea <br /> <br />