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2009-065M
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2009-065M
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3/4/2016 9:32:41 AM
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10/1/2015 3:21:15 AM
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IMPORTANT <br /> If the certificate holder is an ADDITIONAL. INSURED , the poiicy(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 /> 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 /> DISCLAIMER <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 negatively amend , extend or alter the coverage afforded by the policies listed thereon . <br /> ACORa 25-S (2001 /08) Certificate #118704 <br />
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