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May. 31. 2019 2:39PM GALAXY FIREWORKS No. 7025 P. 2 <br /> CERTIFICATE OF LIABILITY INSURANCE 21/201 <br /> THIS CERTIFICATE 8 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS <br /> CERTIFICATE DOES NOT AFFIRiNATNELY Oit NEGATMY AMEND.EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE"OF INSURANCE DOES NOT CONSTITUTE A CONMOT BETWEEN THE ISSUING INSURE4t(3),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCFA AND THE CERTIFICATE HOLDER <br /> iMpORTA-0- if the,eartinescta holder is an ADDITIONAL INSURED,the policy(eas)must be endorsed. IESUBROGATION IS WANED,subjectto <br /> the tem and conditns of the polity}corlaln policies may requke an endamen+e:d. A vtatement an eft tsrtl "ts does not taller rights to the <br /> certit aW holder In Rau ofssach andeisernen <br /> 'PIi6l5tICFJZ R E: <br /> Britton Gallagher Pi# ti 97 <br /> ne Cleveland Center,Floor 30 <br /> 1STS East St.Street <br /> Cleveland OH"114 WSUWMEMMMtoVMAW coma* <br /> reilm&Ayft SuMfus Ins CornR@ay <br /> WSVRW <br /> tp Fir8woft[no INWISItC. <br /> 2 Martin Luther King Blvd Ra: <br /> t Tampa FL 33M e, <br /> i COI+ERA+GE$ CERTiRGATE NUMBER:1'121001087 ut F: REVISION NUMBER: <br /> TI1t5 IS TO C FY AT THE POLICIES OF INWRANCiE LISTED BELOW HAVE BEEN 1 UED Q !N ED ED ABOVE FOR THE POLICY PERtO 7s <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONOMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO tAHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUS=T TO AU.THE TERMS. <br /> EXCWSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWRMAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> r rmeoFlNsrtRANce VOLICYNUMSER I LIMlrs <br /> yENStALLKW v SISML00 4.191 8r701E019 6t10t20it0 EACHMRENCE $1.0W.000 <br /> C wr;;RClALovmAL"Lrry .Errs,Wuia= S9Dix= <br /> CLA)MS.MADE Q CCCUR MEDEXP(Aft em ywN 5 <br /> PER8bNA4&A4VKXRY S1.004.000 <br /> GENLOALAGGREGATE $1000 000 <br /> C-eftAGOREOATEttWACIPsPER: RRODvcTS-COMPA?AG3 000.000 <br /> I -7 POLICY M M& F1 I Is <br /> C AY'r"COL!UABII.ITY SISCACOOSI.101 0=01e W1012020 E YtN�_ �•^' _000 <br /> ANY <br /> _ "1 RY ipaP=") S <br /> Mv$NVEO A�OULfD 8t}DtLY RQURY 6WAOCit A 3 <br /> }lsii$OAA!<AfCkS X AS P 6 <br /> 5 <br /> urrsREttA LIAR 7C OCCUR Eg" Nfidee 6H0i2019 CM0442D EACH 0=MR9NOD �$4.000.000 <br /> X FJCC£SSriRa CtAIMS4AAVE AMEGAM sa•_000.000 <br /> O 1 ETENTtlJN# $ <br /> I WOtkJSF M COMP�V$P.TIOM ALL OTM. <br /> AHD PAPLOVEtB'URBXM —•. <br /> I gW=11EAAKWM=V 11@("N Nto EL EACHACCIAENT S •_ <br /> t Off-4PERAT28N5 betow t-3 ' E`CfiSEASE.EA Eb1PL0Y 9 <br /> _ <br /> (IIEe,tde2o&MI" EL _ --1 <br /> , <br /> Di85• -PdLIGY LIMrt't E •,_,. <br /> I <br /> i <br /> CPSCRifYnCNOFaPERATl0HS1l,OCA'riCNS>'Vl;FttG#,LS tAll�dsAGORDi4i,ACittttaesatRcmaetcsiGet,eru,tgiteaaeevaesieteRrtatiCl <br /> Additional Insdrad extension of coverage is provided by above referenced General Liability potiay where requitesi by written agreement_ <br /> Location:5853 Gall Bw,Zephyrhills <br /> Adtlit onsl Insweds:City of Zephyrhiiis,Mark Ayer and all his agents,representatives and subsidiafts <br /> (Workman CwV) <br /> CERTIFICATE l4C1LDER CANCELLATION <br /> WOULD ANY OF THEABOV9 05MMEOPiDUCIESBECANMLEDoEFolM <br /> City <br /> i 7 f Zep rhiiis THE SWIRATION DATE THERE, NOTICE MRLL BE DELIYER'ED IN <br /> 1 6907 hiryFRLd3:i542 �►*C CE►Ntt?iTi#'IH6POuOYR %nfflONs, <br /> ZophAUTHDRWRE aTATIVM <br /> tS INO-2010 ACORO CORPORATION, All rights reserved. <br /> ACORD 25 W0105) The AGORD name and logo am ragistamd marks of ACORD <br /> i <br />