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<br />..PRO.DucER...,.. ....,. . . .. 440-248-4711 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />COMPANIES AFFORDING COVERAGE <br /> <br />Britton-Gallagher & Assoc. <br />6240 SOM Center Rd. <br />Cleveland, OH 44139-2985 <br /> <br />COMPANY <br />A <br /> <br />Lexington Insurance Co, <br /> <br />INSURED <br /> <br />Pyrotecnico <br />P.O. Box 149 <br />New Castle PA <br /> <br />COMPANY <br />B <br /> <br />Granite State Insurance Co. <br /> <br />16103 <br /> <br />COMPANY <br />C <br /> <br /> <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I __m..__.-: <br />POLICY EFFECTIVE I POLICY EXPIRATION: <br />DATE IMM/DD/YYI : DATE (MM/DD/YYI <br /> <br />TYPE OF INSURANCE <br /> <br />POLICY NUMBER <br /> <br />CO <br />lTR <br /> <br />LIMITS <br /> <br />A GENERAL LIABILITY 4018512 1 2/31/00 1 2/31/01 GENERAL AGGREGATE $ 200000D <br /> X ------------.r.u.. <br /> COMMERCIAL GENERAL liABILITY PRODUCTS - COMP/OP AGG ' $ 2000000 <br /> CLAIMS MADE 0 OCCUR PERSONAL & ADV INJURY 1000000 <br /> OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE 1000000 <br /> FIRE DAMAGE (Anyone fire' 500000 <br /> MED EXP IAny one personl <br />B AUTOMOBILE LIABILITY CP052800851 3/29/01 1 2/31/01 <br /> COMBINED SINGLE liMIT <br /> X ANY AUTO 1000000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODilY INJURY <br /> X NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> GARAGE LIABILITY AUTO ONLY. EA ACCIDENT <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br />A EXCESS LIABILITY 5641088 12/31/00 12/31/01 EACH OCCURRENCE 9000000 <br /> X UMBRELLA FORM AGGREGA TE 9000000 <br /> OTHER THAN UMBRELLA FORM <br /> WORKERS COMPENSATION AND WC STATU- , !OTH., <br /> ,~LIQID'h!JM!IS.:_.. :~R_ <br /> EMPLOYERS' LIABILITY I <br /> THE PROPRIETOR/ I~E~~~.c~D~"!:'m _ ---i $_ <br /> PARTNERS/EXECUTIVE INCl EL DISEASE - POLICY liMIT I $ <br /> OFFICERS ARE: EXCL El DISEASE - EA EMPLOYEE <br /> OTHER <br /> <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAlITEMS <br />Fireworks Display: December 2, 2001 <br />Location: East Pasco Medical Center <br />Additional Insured: City of Zephr Hills <br />:iPW{TIf.@At~:iHQMi~ij!:}f:tt}:it}f}!if'itt::!j:!:!::lji:ji}fft:j!:::i:ifi'ftfff::tf:ji:ifi{ii{~m{ii{i:{{{fJt.4NqfJ\iAllgNf,;,j't:j:!ifff::t:'fti:~tffi~ftttt:{Wi:i:{j!i=j'Itt:::':= <br /> <br />East Pasco Medical Center <br />7050 Gall Blvd <br />Zephyrhills, FL 33541-1399 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />.....1Q. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT, <br />BUT FAILURE TO MAil SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> <br />00527 <br />:iAQQijlW~$.f~i:J!H~fitiW'Ii=i:'iWmmmI:fiWii:I~i::::ii't'Ii::IMIII:::IIimiWt:=ifr:I'tI.t}'i@4.dt}'{mfiImf,;,m'=tiI"it/Itt'i:"itiiI>- <br /> <br />OF ANY KIND UPON THE COMPANY, ITS AGENTS ,OR REPRESENTATIVES, <br />AUTHORIZED REPRESENTATIVE <br /> <br />. ....."......... <br />............................................... <br />.............. ..... <br /> <br />';';';.;.:.;.;.;.;.;.:.;.;.;.:. <br /> <br /> <br />'.'b#Ait&NWijij-i.r <br />