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Dec 79 2a1510�48am PD031003 <br /> .�;cc"�,�z,r�� ���TIFICATE C3F L.IAI�mLITY fNSUi�ANCE °A'�`"'�°°"�'Y", <br /> � 6/2512a�5 <br /> 7i-nS C�RTiFICA'1'� t5 ISSUED A3 A MA77�R��In�FORMATlON ONI.Y AND CONFERS NQ RIGHTS UPON 7NE C�RTIFICATE iiOLDER. 7HIS <br /> CERTIFICATE DOES N07 A��lkNtATIV�t,Y OR NEGATIVELY AM�ND, �xT�Np QR ALTER 7W� COVERAGE AFFbR17�b BY TH� P4UCIE3 <br /> g�LOW. THIS QER'f1FICATE �F INSUR�INC� bbE$ NOT CONSTITUTE A CONTRACT BE7W�EN TME ISSI11Nca INSUR�R(S), AUTHQRIZED <br /> REPRE3ENTATIV�17R t�RODUGER,AND TFIE CER77FICA7�W41.pER. <br /> INIPORTANT: If the certlticata hotdel'I5 an ADDITI�NAL IN3URED,tha p4tEcy((�5)must 6o andorsed. If SLIB}�DGATIDN!3 WAIVED,subJact to <br /> tha tarms and condldons oi the polley,csttaln pottotes may roqulre an endorsamenG A�tatemont on this certlflcata daes not confor rfghts to the <br /> cartifloate holdor ln llou of such anCorsement s. <br /> pRapUCER ��; <br /> Britton GaUagher RHaic�uA,��,?,�R5A..71 b0 �a c.wnti;�,�6y5_�,ZZ(L <br /> One Gleveland Center,�laor�0 .MAIL <br /> 1375 East 9th Street <br /> Cleveland 0�144174 MSUR6R S APFORDRJG G01/6RAGE f3AIC p <br /> -1NSUf�a p• <br /> �suR� �5g7 wsu�e:Fverest Indemnity Inc iran.. o <br /> , J�ke's Finaavorks Ina n�su►�e c: <br /> �500 E 77th 7err� INFURER Q: � <br /> Pittsburg KS 89762 <br /> wsu��• <br /> INSURPR F- <br /> CQV�RAG�S CERTi�ICAT�NUAnBER:749�964�6 R�1►ISION NUMBEft: <br /> THIS IS TO CER7IFY ThIRT TWE POLICI�$OF INSURANC�LISTEO BELOW H�qVE��EN ISSU�D TQ THE IN$URED NAME17 AeOVE FOR THE pQLICY PERIOQ <br /> INDiCATGQ, Nb'1'IMTH9TANbING ANY REQUIRGMEM7,T�RM OR CONDITI4N OF ANY CONTRACT OR 4TH�R DOCUM[N7 WITH RESP�CT TO WHICH TMIS <br /> CERTIFICATE MAY S�ISSUED OR MAY PERTAIN,TM�fN5URANCE AFFORDED BY 7FIE Po�ICIEs oF„�CRIBED MEa�IN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS ANt7 CONDmONs OF SUCH PdLtCIES.LIMITS BHOwN MAY HAVE BCEN REDUCED 6Y PAIp CLAIMS, <br /> IL 6H 7ypE OF INSURANCE POLICY EFP ROLICY EXP <br /> POLICYNt1M8ER Ml60 MMIoa LIMITS <br /> B GEN�{��,{�AgILIiY SIpGL00320-151 211512D75 2/15/2019 UGW OGCURR�NCE S1 oU0 D00 <br /> x COMMERCIALG@NCRAL LIlIpI�ITY , ��S�E&oCetIIwnrr 5500 OOD <br /> CIAIMS-MADE �OCCUR ME9 EXP fyW 4t15 4r�Qn � —• <br /> PERSOIdAL a ADV INJURY S1 000 000 <br /> GENERAL AGGREGATE 32 000 000 j <br /> GEN'L AGGREOATE UMIT APpLl�S PER: PFippUCTS-CAMplOP AGG tp 400 b00 <br /> POLICY �'Rd- LOC s <br /> nurnuparlE unBtilrr � <br /> Ea aeddOn! <br /> ,ann aura op4fl.Y INJUFxY{her pereon) S <br /> �Q��� AUT08ULED BODILY INJUAY(Pe�ecddo�� $ <br /> PIIREp AUT08 AUTO&WNED PbpacEcR oY DAMAC�E � <br /> S <br /> A �MBREf,LALlAD ?C pGCUR F.7CC6018367 2/15/201¢ 2/15/2016 Ep,CHOCCURRC•NC� 57,009,900 <br /> X EXCESSLIAB ����3_�� QGOREOATE $1�d04,�P0 <br /> OEO RETENT�bN 6 tl <br /> WORKER690MPENSATiON 4VCSTAN• OTH- <br /> AND EMPLOYERS'LIA611JYy Y f N <br /> ANY PROPflIETOR/PAR7NERIEXECtIFIVC• <br /> OFfICER/MEM8ERE7ICWD�d7 ❑ N�A E,L�EACHACCIDENT 5 <br /> (Mandofnry I�N E.l�OISEASE-EA EMPLQYE 3 <br /> H ync,dpsCf�bB Ill dB� <br /> DESCRIP7'IONbFOf�ERATI0N56olmv E.L.013S/�S�-pOLICYLIMIT $ <br /> PESGRIP7lON OF OPERqTtON8!L000.T1QN5!VE3i�¢�g(p��h ACOR6 70��Addlllonal RumarKA 9S119filllo,If moro zpqco la requirvd) <br /> Sales Lacation,38d99 Country Rd 54 East,Pasco Zephy�hills,FL 33G42; <br /> l.and Owt�er.Jeffery Gray • <br /> Torm;February 15,2p95 fhraugh February 14,Zp1G <br /> , Th�Certificafe Wolder and the abave listed are Additianal lnsuteds with respects to Genetsl L,iability policy as required by written contaGt, <br /> CER71FlCATE HpLbER CANCELLATI�M <br /> SHOULD ANY OF THE ABOVE DESCRIH�4 POLICIES 9E GANCELL@D 6�ppRE <br /> 7NE EXpIRAT10N Dq'f� THEREQF, NOTICE WILL BE DELIVERpp IN <br /> E&�Fireworks ACCORbANCE WITH THE ppLiCY PRdVf$IpNS. <br /> � Edward�nize <br /> '!05 Burchwood Ave AUTNORIYppREPRESENTAIIVE <br /> F+lant City FL 39afi3 <br /> , ��� <br /> �1988-�010 ACo�o CORPaRATiON. Ali rfghts reservad. <br /> ACORb 25(2010ld5) The qC4RD name arld fogo are reg�sterad marks of ACpRD <br /> �, <br />