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7 ® DATE(MM/DD/YYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 11/29/2017 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 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME:CONTACT Britton Gallagher FAX PHONE o Ext a/C No:2 - -7 O1 One Cleveland Center, Floor 30 fAIE-MAIL 1375 East 9th Street ADDRESS: Cleveland OH 44114 INSURERS AFFORDING COVERAGE NAIC# INSURER A:EVereSt Indemnity Insurance Co. 10851 INSURED INSURER B:EVereSt National Insurance Company 10120 Galaxy Fireworks Inc. INSURER CAxis Surplus Ins Company 26620 204 E.Martin Luther King Blvd INSURERD: Tampa FL 33603 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:1893271039 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 B IMS. INSR TYPE OF INSURANCE ADDL SUBR POLICYEFF POLICY LIMITS LTR INSR WVD POLICYNUMBER MM/DD MM/DD A GENERAL LIABILITY Y SI8ML00324-171 6/10/201 6/10/2018" EACH OCCURRENCE 51,000,000 AMAGE TORENED X COMMERCIAL GENERAL LIABILITY PREM SES Ea occurs nce $500,000 CLAIMS-MADE IX-1 OCCUR MED EXP(Any one person) S PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO X LOC $ jEcT B AUTOMOBILE LIABILITY COMBINED SINGLEUMT-- S18CA00081-171 6/10/2017 6/10/2018 Ea accident 1 000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED ROPERTY DAMAGE HIIREDAUTOS X AUTOS raccQI $ X $ C UMBRELLA LIAR X OCCUR EAU753159 6/10/2017 ` 6110/20'1`8 EA&OCCURRENCE $4,000,000 X EXCESS LIAB CLAIMS-MADE GGREGATE 54,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N ZR ANY PROPRIETORIPARTNERIEXECUTIVE❑ N/A E.L.EACH ACCIDENT S OFFICER/MEMEER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS/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(2010105) The ACORD name and logo are registered marks of ACORD