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02-1288
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02-1288
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Last modified
3/6/2009 2:55:19 PM
Creation date
11/9/2006 8:11:04 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
02-1288
Building Department - Name
STONE,JAMES
Address
5021 1ST ST
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<br />ADDENDUM <br />N 0 VEL T Y <br /> <br />" A" FOR: U N I V E R S E <br />& F I RigW 0 R'K S CO <br /> <br />---~---------~~-------~---~-~--~--,~~----_._,-------~--------------~--- <br /> <br />AGENCY: <br /> <br />J...EST8R KAI.MANSON A<?E~CY nqq, . <br />P.O. BOX ~40008 <br />M1\ITLA.~D, FI.IORIDA :. U.S. A.' <br />PH: 407-645-5000 PAX:.407-G/1$-;I,810 <br /> <br />i · <br /> <br />-----------.-----~-~--~-----.,.'-----------------~--------~------._----- <br /> <br />POIlle" PERIOD / TERM: 02/17/2002 rr002/17/2003 <br />(12:01 AM LOCAL SThNDARD TIME) <br /> <br />-, , <br />, <br /> <br />______________________.______~________'___________~___--_.._______~M__ <br /> <br />POLICY I BINDER NUMBER: SPHS03021702 <br /> <br />-~---------~--------------------------------------------.----------..- <br /> <br />DESCltI p,'rION OF' INSURANC.B:: <br /> <br />---------------------.-----~-------~---------~-----------------------. <br /> <br />A) PREMISES LIABILITY COVERAG~ FOR THE RE1~IL SAL~S OF VARIOUS <br />CLASS II ell FIREWO~KS AND/ OR NOVELTY ITEMS, ONI.JY WHILE UND.lJlR 'l'BE <br />DIRECT CONTROL/ SUPERVISION OF '}'HE NAMIm !NSURED AND/ OR IT I S <br />EMPLOYEE (8) AT ALL TIMES, WHILE A'r VARIOUS TRAVELING (FL) <br />LOChTION(S) (IE. SPECiAL EVENTS, FESTIVALS, ETC.) <br /> <br />-----..-~-------~__________~w______________________~__-----_M~_______M <br /> <br />B) PRENISES LIlVHI,ITY COV~";RAGE FOR THE REr!'}\lrJ SALES OF VARIOUS <br />CJ..IASS lie" FIREWORKS AND/OR NOVELTY I 'rEM (S), ONLY WHU.E UNDER <br />THB DIRECT CON'I'ROL/ SUPERVISION OF THE NAMED INSUREI') ,AND/OR IT IS <br />f:MPLOYEE:(S) AT ALL TIMES, WHIIJE ON THE NAMED INSURED'S DES:r.GNATED <br />f?REMISES I"OCATED AT 8820 US HWY 301 SOUTH, RIVERVIEW, FL. ONLY. <br /> <br />---------_._------------------------------~-.------.~-------~.._------ <br /> <br />C) ADDI'J;'IONAL INSURED ARE ADDED ONIJY AS 'I'HEIR INTERESTS MAY APP:t.~AR <br />IN RESPECTS TO THE OPERATIONS PERFORMED BY THE NAMED INSURED <br />ANDI OR IT'S EMPLOYEE(S) ONLY. <br /> <br />-----~._-------.'---------~------.~-------~-------------------~~------ <br /> <br />PAG~ 1 or 1 ~~A <br />-----~-------~~~-B---------.----~--s/9n----------ADDENDUM <br />
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