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<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 SUBROGATION IS WAIVED, subject to the terms and condijions 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 Certificate of Insurance on the reverse side of this form does not consiitute a contract between <br />the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does ij <br />affirmatively or negatively amend, extend or aijer the coverage afforded by the policies listed thereon. <br /> <br />AT <br /> <br />/,' TO FORM <br /> <br />------- <br /> <br />~Jh <br /> <br />-;;~y..:Jy <br />h~_-,.,[:,i. I.--.ij' A.Uor'.ey <br /> <br />ACORD 25-S (2001/08) 2 of 2 <br /> <br />#S144140/M137519 <br />