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. . , " • ' � DATE(MMIDD/YYYY) i A�� CERTIFICATE OF LIABILITY INSURANCE 11/I/2016 5/13/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ' CERTIFICATE 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 REPRESENTATIVE 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 to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certifcate does not confer rights to the certificate holder in lieu of such endorsement(s). � PRODUCER Lockton Companies NAMEACT 3280 Peachtree Road NE,Suite#250 PHONE F� A/C No: ' Atlanta GA 30305 E-MAIL (404)460-3600 ADDRESS: INSURER S AFFORDING COVERAGE NAIC# iNsuReR a:Everest Indemni Insurance Com an 10851 INSURED American Promotional Events,IIIC. INSURER B: 1359629 DBA TNT Fireworks,IllC. INSURER C: P.O.Box 1318 INSURER D: 4511 Helton Drive INSURER E. Florence AL 35630 INSURER F. COVERAGES CERTIFICATE NUMBER: 12067055 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY 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. �LTR TYFE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS POLICY NUMBER MMIDD MM/DDIYYYY � A X COMMERCIALGENERALLIABILITY y N SI8GL00242-151 11/1/2O1$ 11/1/2016 EACHOCCURRENCE 5 1 OOOOOO CLAIMS-MADE �OCCUR DAMAGE TO RENTED PREMISES Ea occunence 5 5�0 0�� MED EXP(Any one person) $ 5�� PERSONAL 8 ADV INJURY $ 1 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 OOO OOO POLICY❑PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ 2 OOO OOO OTHER: $ AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED SINGLE LIMIT $ Ea accident XX�X�{X ANY AUTO BODILY INJURY(Per person) $ XX�{�{XXX AUTOS NED qUTOSULED BODILY INJURY(Per accident) S XX�XXX NON-OWNED PROPERTY DAMAGE $ XXXXXXX HIRED AUTOS AUTOS Per accidenl $ �{X�{XXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE S XXXXXXX EXCESS LIAB CLAIMS-MADE AGGREGATE $ XXXXXXX DED RETENTION$ S XXXXXXX WORKERS COMPENSATION NOT APPLICABLE PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETORIPARTNER/EXECUTIVE Y�N E.L.EACH ACCIDENT 5 XXXXXXX OFFICER/MEMBER EXCLUDED9 � N�A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ }{�{�{}{�{�{�{ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ XX�XXX DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additlonal Remarks Schedule,may ba attached if more space is required) THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER,APPL(CABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S)REFERENCED. City of Zephyrhills and Certificate holder is an additional insured on the General Liability as required by written contract subject to policy terms,conditions, and exclusions. CERTIFICATE HOLDER CANCELLATION 12067055 PUbI1X SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE #1245 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7838 GALL BOULEVARD ACCORDANCE WITH THE POLICY PROVISIONS. ZEPHYRHILLS FL 33541 AUTHORIZED REPRESENT VE� � � � O 1988-20 ACORD CORPO TION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD