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, , " ' � � , DATE(MMIDD/YYYY) A�� CERTIFICATE OF LIABILITY INSURANCE iiii/2oi6 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 certi£cate 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 n.Everest Indemni Insurance Com an 10851 INSURED American Promotional Events,IriC. INSURER B. 1359629 DBA TNT Fireworks,IIIC. INSURER C. P.O.Box 1318 INSURER D: 45]1 Helton Drive Florence AL 35630 INSURER E: INSURER F. COVERAGES CERTIFICATE NUMBER: 12067057 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. NOIVVITHSTANDING 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. �TR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS POLICY NUMBER MM/DD/YYW MM/DD/YYYY A X COMMERCIAL GENEf2AL LIABILITY 1' N SI8GL00242-151 11/1/2015 11/1/2016 EACH OCCURRENCE $ 1 OOO OOO CLAIMS-MADE �OCCUR PR M SES Ea oNcu ence 5 SOO OOO MED EXP(Any one persan) 5 5�� PERSONAL&ADV INJURY S ] OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ Z OOO OOO POLICY�PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ 2,OOO OOO OTHER: $ AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED SINGLE LIMIT � Ea accident XXXXXXX ANY AUTO BODILY INJURY(Per person) S XX�{XXXX AUTOS NED qUTOSULED BODILY INJURY(Per accident) 5 XX�{�{XXX NON-OWNED PROPERTY DAMAGE $ XXXXXXX HIRED AUTOS AUTOS Per accidenl 5 XX�{XXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS-MADE AGGREGATE 5 XXXXXXX DED RETENTION$ $ XXXXXXX WORKERS COMPENSATION NOT APPLICABLE STATUTE ERH AND EMPLOYERS'LIABILITY Y/N �� ANY PROPRIETOR/PARTNERIEXECUTIVE � `f 0 E.L.EACH ACCIDENT S XXXXXXX OFFICERIMEMBER EXCLUDED7 � N/A ` �� ,/ (Mandatory In NH) 1�� `.`� E.L.DISEASE-EA EMPLOYEE S XXXXXXX If yes,describe under t S f DESCRIPTION OF OPERATI�NS 6elow E.L.DISEASE-POLICY LIMIT $ XX�{XXX DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 107,Additional Remarks Schedula,may be attached if more space Is required) I THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER,APPLiCABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S)REFERENCED. City of Zephyrhills and Cectificate holder is an additional insured on the General Liability as required by written contract subject to policy terms,conditions, and exclusions. CERTIFICATE HOLDER CANCELLATION 12067057 Wal-Mart SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE #O�OE) THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7631 GALL BOULEVARD ACCORDANCE WITH THE POLICY PROVISIONS. ZEPHYRHILLS FL 33541 AUTHORIZED REPRESENT VE� !�' ^f , (%/ O 1988-20 ACORD CORPO TION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD