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DocuSign Envelope ID: 30A67060-F305-4F21-802E-49D2C241AElB <br /> IMPORTANT <br /> If the certificate holder is an ADDITIONAL INSURED,the policy(los) must be endorsed.A statment on this <br /> 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 holder In lieu <br /> of such endorsement(s). <br /> DISCLAIMER <br /> The Certificate of Insurance on the reverse side of this form does not constitute a contract between the <br /> issuing insurer(s), authorized representative or producer,and the certificate holder, nor does it affirmatively <br /> or negatively amend,extend or alter the coverage afforded by the policies listed thereon. <br /> ACORD 26(2001108) <br />