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<br />IMPORTANT <br />If the cerBficate holder is an ADQITIONAt_ INSURED, the policy(ies) must be endorsed. A statement <br />on this certificate does not confer rights to the certificate holder in Eieu 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 />DISGl.A1MER <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 cartlficate holder, nor does it <br />affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. <br />ACOi2D 25 (20011t}8) <br />