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<br />02/10/2004 TIT 11.: 30 FAX 813 932 628i <br /> <br />ADCOCK-ADCOCK <br /> <br />~002 <br /> <br />IMPORTANT <br /> <br />If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed_ A statement <br />on this certificate does not confer rlghts to the certificate holder in lieu of such endorsement(s}. <br /> <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the polley, certain policies may <br />require an endorsement. A statement on this certificate does not confer rights to the certiftoate <br />holder In lieu of such endorsement(s). <br /> <br />DISCLAIMER <br /> <br />The Certificate of Insurance on the rtVet'Se side of this form does not constitute a contract between <br />the issuing insurer(s), authori~ representative or producer, and the certificate holder, nor d088 it <br />affirmatively or negatively amend. extend or alter the coverage efforded by the policies listed thereon. <br /> <br />ACORD 2S (2001108) <br />