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<br />IMPORTANT <br /> <br />If the certifiC<lte holder is an ADDITIONAL INSURED. the pollcy{les) must be endof"$ed. A statement on this <br />certificate doea not confer rights to the certificate holder In lieu of such endof"$ement(s). <br /> <br />If SUBROGATION IS WAIVED, subject to the terms and condItions of the policy, certain policies may require an <br />endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such <br />endof"$ement(s) , <br /> <br />DISCLAIMER <br /> <br />The Certificate of Insurance on the reverse side of thi$ form does not constitute a contract between the issuing <br />insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively <br />amend. extend or alter the coverage afforded by the policies listed thereon. <br /> <br />. '- --...: --.1.- <br /> <br />, <br />I ~,--', <br /> <br />h__ ...~. 71) <br /> <br />..~.., .... ""'. J <br /> <br />ACORD 25 (2Q01/0B) <br />IN$025 (OlCla).06 AMS <br /> <br />Poge2012 <br /> <br />EB/EB 39t1d <br /> <br />~~nSNI 38~nOS~I~3N3g <br /> <br />60SSS1Z;6v6 <br /> <br />68:l1 L0Bl/11/90 <br /> <br />