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<br />IMPORTANT <br /> <br />If the certificate holder is an ADDiTIONAL INSURED, the pollcy(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 conditions of the policy, certain policies may <br />require an endorsement. A statement on this certificate does not confer rights to ttie 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 constitute a contract between <br />the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it <br />affirmatively or negativeiy amend, extend or alter the coverage afforded by the policies listed thereon, <br /> <br />11"1'(;; , <br />J1d, <br />Vii\:! \ <br /> <br />]1:] <br />11:1") <br />\__I..J <br /> <br />ilD :e wv S I NVi" u""Z <br /> <br />ACORD 25-S (2001/08) 2 of 2 <br /> <br />#M25239 <br />