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<br />, <br /> <br />J6n-Q4.04 01,40pm <br /> <br />From-ISO INTERNATIONAL <br /> <br />4102210085 <br /> <br />T-819 <br /> <br />P.02/02 <br /> <br />H66 <br /> <br />v <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 /> <br />If SUI3ROGATION 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 /> <br />DISCLAIMER <br /> <br />The Çertificate of Insurance on the reverse side of this form does not constitute a contract between <br />the i!;suing insurer(s), authorized representative or producer. and the certificate holder, nor does It <br />affirnativelY or negatively amend, extend or elter the coverage afforded by the policies listed thereon. <br /> <br />~7 z(~ <br /> <br />I <br /> <br />I <br /> <br />ACORD 25 (2001/0B) <br />