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IMPORTANT <br />If the certificate holder is an ADDITIONAL INSURED, the policy iesj must be endorsed. A statement <br />on this certificate does not confer rights to the clertifcate holder in lieu of such endorsement(s). <br />If SUBROGATION IS WAIVED, subject to the grins 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 tnsurance 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 altE r the coverage afforded by the policies listed thereon. <br />ACOR 2" (2001100) 2 of 2 #S9 I 5260/Mg 15043 <br />