Laserfiche WebLink
<br /> <br /> <br /> <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 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 <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 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 alter the coverage afforded by the policies listed thereon. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> ACORD 258 (2001108) 2 of 3 #S683075fM680980 <br />