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� � � DATE(MPA/DD/YYYY) ;�ccoizo �E�TIFICATE O� LIABILITI( INSUI��4NCE 6/8/2015 THIS CEFdTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CGRTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED FiEPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. ! IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject 40 the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certifica4e holder in lieu of such endorsement s. � PRODUCER CO T CT NAME: Britton Gallagher PHONE Fnx - - ac No: - One Cleveland Center, Floor 30 EMAIL 1375 East 9th Street ADDRESS: Cleveland OH 44114 INSURERS AFFORDINGCOVERAGE NAIC# INSURER A: INSURED INSURER B: Galaxy Fireworks Inc. iNSUaeac: ' 66 204 E. Martin Luther King Blvd INSURERD: Tampa FL 33603 INSURER E: INSUREFi F: COVERAGES CERTIFICATE NUMBER:1962787071 REVISION NUMBER: THIS IS TO GERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED._NOTWITHSTANDING �NY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. � INSR - TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR ' INSR WVD POLICYNUMBER MM/DD/YYYY MM/DD/YYYY A GENERALLIABIUTY Y SI8GL00507-151 /10l2015 /10/2016 EpCHOCCURRENCE 51,000,000 X COMMERCIALGENERALLIABILITY , DAMAGETORENTED PREMISES Eaoccurrence $500,000_ CLAIMS-MADE �OCCUR MED IXP(Any one person) $ PERSONAL&ADVINJURY $1,000,000 GENERAL AGGREGATE 52,000,000 GEN'l AGGREGATE LIMIT APPLIES PER: ' PRODUCTS-COMP/OP AGG $2,OOD,000 - POLICY PR� X LOC $ B AUTOMOBILE LIABILITY SI8CA00081-151 /10/2015 /10/2016 Ea accident G 1 000 000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJl1RY(Per accident) $ AUTOS AUTOS ' X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident S C UMBRELLA LIAB X OCCUR EAU753159 /10/2015 /10/2016 EACH OCCURRENCE $4,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $4,000,000 DED REfENTIONS $ p WoRKERS CoMPENSATION 6FR13UB-2E63702-1-15(FL) /19/2015 /19/2016 X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N � ANY PROPRIETOR/PARTNER/EXECUTIVE EL.EACH ACCIDENT $500,000 OFFICER/MEMBEREXCLUDED? ❑ N/A i (Mandatory In NH) , EL.DISEASE-EA EMPLOYE $500,000 If yes,desctibe unde� DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Addltlonal Remarks Schedule,It more space Is requlred) Location. 5953 Gall Blvd,Zephyrhills � Additional Insureds: City of Zephyrhills, Mark Ayer and all his agents, representatives and subsidiaries (Workmen Comp) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAfJCELLED BEFORE THE EXPIRATION ,DATE THEREOF, NOTICE WILL BE' DELIVERED IfV , City of Zephyrhills ACCORDANCE WITH THE POLICY PROVISIONS. 6907 Dairy Rd Zephyrhills FL 33542 AUTHORIZED REPRESENTATIVE �/�6+SN�/Wf3'."^" ' , OO 1988-2010 ACORD CORPORATI�fV. All rights reserved. ACORD 25(2010/05) '�he ACORD name and logo are registered marks of ACORD