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William Dukes and Company 400 Montgomery Street Suite 500 San Francisco, CA 94104 ISSUE DATE (MMlDDIYYJ 11/06197 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. COMPANIES AFFORDING COVERAGE PRODUCER f~~~NY A Nobel Insurance Company VS INSURED f~~NY B Great Show Fireworks, Inc. Great Show, Inc. P.O. Box 1736 Oldsmar, FL 34677 f~~~~NY C f~~~NY D 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. CO LTR TYPE OF INSURANCE POLICY NUMBER i POLICY EFFECTIVE 'POLICY EXPIRATION . DATE (MMlDDIYY) I DATE (MMlDDIYY) UMrrs A I GENERAL UABILITY , X i COMMERCIAL GENERAL LIABILITY 1 I , CLAIMS MADEl X I OCCUR. I, 'I , i OWNER'S & CONTRACTOR'S PROTi I 3601EXFL000422 11/15/97 11/15/98 ! ::2~f~~:~~:~ul: _~t::; .... __1__ n}'~,(!OO EACH OCCURRENCE n j! 1,~,~_ I FIRE DAMAGE (Anyone fire) I $ 5f)-'.()()()__ MED. EXPENSE (Anyone personf$ 5,000 r COMBINED SINGLE . LIMIT 1$ , AUTOMOBILE UABIUTY I i ANY AUTO ALL OWNED AUTOS 1 SCHEDULED AUTOS I HIRED AUTOS NON-OWNED AUTOS i GARAGE LIABILITY I I I EXCESS L1ABIUTY i BODILY INJURY . (Per person) I BODILY INJURY I (Per accident) _n I 1$ $ I PROPERTY DAMAGE ,$ WORKER'S COMPENSATION AND EMPLOYERS' UABIUTY DISEASE-POLICY LIMIT DISEASE-EACH EMPLOYEE EACH OCCURRENCE I OTHER THAN UMBRELLA FORM OTHER DESCRIPTION OF OPERATlONSlLOCATIONSNEHICLEs/sPECIAL rrEMS Additional Insureds: City of Zephyr Hills, FL. Zephyr Hills Fire Dept. An additional S onsors East Pasco Medical Center 7050 Gall Blvd. Zephyr Hills, Fl. 33541 (813) 783-6192 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY Will ENDEAVOR TO MAil 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT, BUT FAilURE TO MAil SUCH NOTICE SHAll IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE C~~ANY, ITS AGENTS OR REPRESENTATIVES. AlITHORlZED REPRES A .