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1 34. P9/ 2 0.17.1R ry-3 : 134 35256 11 PETP-PSI-N Tt•T <br /> IMPORTANT <br /> if the certificate holder is an ADDITIONAL iNSUREQ, the poky(res) must be endorsed. A statement on this <br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s) <br /> fi SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an <br /> endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such <br /> erdorsement(s). <br /> DISCLAIMER <br /> The Certificate of Insuraece on the reverse side of this form does not constitute a contract between the issuing <br /> insurer(s), authorized representative or prcduter, And the certificate holder, nor does it affirmatively or negatively <br /> amend, extend or alter the coverage afforded by the policies fisted thereon <br /> L. <br /> ACORO 26 (2001108) <br /> INSO25 t.(+ic AMS Pa9etof2 <br />