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DATE(MMIDONYYY) A40ORLY CERTIFICATE OF LIABILITY INSURANCE 5/21/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS O 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()es)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 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Britton Gallagher WNE FAX fA1,N.,Extl:216-658-71 00 (AJC,No):21-6-65-a-D.01 One Cleveland Center, Floor 30 E-MAIL - 1375 East 9th Street ADDRESS: Cleveland OH 44114 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: verest Indemnity Insurance Co. 10851 INSURED INSURERB:EVere toonal Insurance Company 10120 Galaxy Fireworks Inc. INSURER C Axis S D4aslnsCgmpany 66 204 E.Martin Luther King Blvd INSURER D: Tampa FL 33603 INSURER E: I INSURER F: COVERAGES CERTIFICATE NUMBER:1205813503 REVISION NUMBER: 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. INSR , ADDLSUBR POLICY EFF 0 LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER fMMIDOrNfYYY (MMLIDIM) LIMITS A GENERAL LIABILITY Y S18ML00324-181 6/10/2018 6/1012019 EACH OCCURRENCE $1,000,000 x COMMERCIAL GENERAL LIABILITY $500,000 (Ea occurrence CLAIMS-MADE r I FY-7 OCCUR MED EXP(Any one person) S PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLI ES PER: PRODUCTS-COMP/OP AGG $2,000,000 -1 I POLICY 7 PRO-JECT Ix LOC S AUTOMOBILE LIABILITY COMBINEUSTRUCEIMTr SIBCAODOBl-181 6/10/2018 6/10/2019 fEa accident) $1,000,000 BODILY INJURY(Per person)ANY AUTO '$ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident X7 q C UMBRELLA LIAR IX I OCCUR EAU753159 6110/2018 6110/2019 EACH OCCURRENCE $4,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE s4,000,000 DED RETENTION S WORKERS COMPENSATION WC STATU- O AND EMPLOYERS'LIABILITY YIN -FTaH ANY PROPRIETOR/PARTNERtEXECUTIVE E.L. CH ACCIDENT $ NIA OFFICER/MEMBER EXCLUDED? ❑ c' (Mandatoryin NH) [EL*,DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Additional Insured extension of coverage is provided by above referenced General Liability policy where required by written agreement., 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 CANCELLED BEFORE City of Zephyrhills THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 6907 Dairy Rd ACCORDANCE WITH THE POLICY PROVISIONS, Zephyrhills FL 33542 AUTHORIZED REPRESENTATIVE 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD