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r <br /> r ` <br /> 16 <br /> IMPORTANT <br /> If the certificate holder is an 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 /> 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 <br />it <br /> affirmatively or negatively amend , extend or alter the coverage afforded by the policies listed thereon . <br /> ACORD 25 (2001108) <br />