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- _ -Page 002 - 002 <br /> I <br /> IMPORTANT <br /> i <br /> If the certificate holder is air 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 /> i <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 /> i <br /> i <br /> DISCLAIMER <br /> i <br /> j The Certificate of Insurance on the reverse side of this form does not constitute a contract between <br /> I the issuing insurer(s) , authorized representative or producer, and the certificate holder, nor does it <br /> affirmatively or negatively amend , extend or alter the coverage affordec by the policies listed thereon . <br /> i <br /> t <br /> I <br /> I <br /> I <br /> i <br /> - i <br /> i <br /> I <br /> ! <br /> i <br /> i <br /> i <br /> i <br /> I <br /> i <br /> I <br /> i <br /> I <br /> I <br /> ORD 25 (2001/08) <br />