Laserfiche WebLink
<br />IMPORTANT <br /> <br />If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed, A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), <br /> <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 /> <br />DISCLAIMER <br /> <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 <br />affirmatively or negatively amend, extend for alter the coverage afforded by the policies listed thereon. <br /> <br />_LL5 Gro()..f/ LL-L ct/k!a.. C-IASSi'c. ~A*_rErs <br />KT-P No.! (~~-03-o~ <br /> <br />F)a:3-:e 35 <br />