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J - <br /> ©4117l2001 15 48 15304584735 !CLAIMS PAGE 03 <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 certlficate holder in lieu of such endorsements) <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 oontract 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 /> } <br /> AC4RD 2b�5 t718T) <br />