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If the certificate holder is on ADDITIONAL INSURED, the policy(ies) must be endorsed. Aobnbnnen <br />on this oortihoob* does not confer rights to the certificate holder in lieu of such ondormement(s). <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may <br />require on 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 o contract between <br />the issuing insurer(s), authorized representative or pmduoer, and the certificate hnlder, nor does it <br />affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. <br />ACoRous-S(2uu1mo ) 2 of #S1465801801405195 <br />