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<br />Jun 02 ~OL5 5:50PM <br /> <br />HP LASERJET FAX <br /> <br />~.2 <br /> <br /> <br />I AC~~ CERTIFIt:ATE F <br /> <br />I-~~ . ~~ed Specialty ~nsurance, <br />. 104S~ Gulf Blvd. <br />TreasuJ:e Island, FL 33706 <br />800/23"'-3355 <br /> <br />! ~II""""- ~~u..'tY ; <br />LJ occ: G Ct.\IMS MADo <br />I <br /> <br />o JEOOl ':1'1~. <br />t-1 ''2L, s <br />I WOIVIIlRS- tAro. AltD <br />~UASL TY <br />! AHVPROPRIE'O_,NEREX!'C\;rl\E <br />OfFICEtul,l".,,,e; { _~L'f.D? <br />I Hya,.._ .,;;'tC:..t <br />Iii!!!:: A.L P1C' '-' <br />I ' 01lt1!1lI ; <br />I ' : ' . <br /> <br />~ OFOI'IiR' .___L~l1Q1<1e 'lIItllCWlI! Elt~ ,,_ ilVE!ll~IITrlPElClALl'~. <br />I EFF3CTIV~' FR01 6/15/05 THROUGH 7/05/05 <br />ADDITION'L IN~URED: CITY OF ZEPHYRHILLS <br />5335 8rn ST. ZBPH~~~ILLS. FL <br />AS RBSPE:; ~S TO T3E OPERATION OF THE NAMED INSURED ONLY. <br />i RE: FIRE\JORKS S'i'1U-lD SI'I'UATED AI' 5935 GALL BLVD., ZEPHYR-HILLS. FL <br />CEtn'IFlCAJ1HDL.P&9!. ' <br />I crI'Y OF ZEPHYRHIL'r.S _CI"LDMYOI'l'11UIlOW~__.'~c:I'-'."'''''o._IIlI'tllA'IlOM <br />I 5335 8'I'H ST ~,.1It1MC','7IiJ!lSIWIGIIllIUIWlM.l.~'R'101lIAL -l9_, 0A'ta~1TTIN <br />ZEPHYRHILLS FI: 3 3~." 0 NO_1OTltIiCI!JnR:AlIE HOLDIIIl:_ rQl'III! ;J!fT,.UTPllIl.UftUOIlOlI01IW-l. <br /> <br /> <br />L - -.~-~ <br /> <br />RANCE 6T1JQ2i05' <br />ntlS CERTIFICATE IS ISSUED AS A MA TT'lR OF INFORMA 1"ION <br />ONL V AND CONFERS NO RIGHTS UPON 1lE CERTIFICATE <br />HOLDER. THI8 CI!RnflfCATE DOes NOT ~ND, EXTEND OR <br /> <br />.p~--Univer~e Novelty & Fireworks <br />Company, Inc. <br />8820 US Highway 301 S <br />Riverview Fl 33569 <br /> <br />INSURr!Ra AFFORDING COVeRAGE <br />lH8~fR It T. H. E . Insuranc~_ Cornfan:t. <br />114UW1 e: <br />1H1HJI'lflI c: <br />IIH.lJIIlf.R 0: <br />IMSUIlER E; <br /> <br />NArc, <br /> <br />1M: POLICiES CF INSUPANCE l.JSTEO le&.ow HAVE BEEN ISSUEO m THE INSURED HAMl!El ABCM: FOR TriE Pa.ICY PER:oD IlllCfCATB>. NOTWTHSflUfOlNG <br />NtY AEQUIRa.tENT, 11:AM OR CONtIIllON OF MY CONTRACT OR onER OCCUMeHTWITH RESPECT TO 'NICH 1WlS CERTlFJC,Iil,TE MAY BE IssutO OR <br />MAY PERTAIN, THE IHS\.IRAACe AFFOqDEC BY THe POLICIES 0E8CAIBED HERSH IS SUBJECr TO AU THE TERMS. EXCL U8!ONS AHO CONOiTIONS OF SUCH <br />POUClES. ~3ATe UMl.....s StiOVvN MAY HA'lIE BEBl REDUCED 6Y PAlOCI....IMS, <br />INIIIIlCO'l. - JOOUCV "'_II'! - I <br /> <br />AI <br />I <br />I <br />i <br />I <br />I <br />! <br /> <br />~LlQll,jlY <br />~.: _~ CCM.lERe:AL ClI!NfIW. UAIIIU"" ! <br />: CI.N\IS Y.ADE l2f.. QCCJ!'( I <br /> <br />r-<- I <br /> <br />l'.~--~~1lE~.:Jln "~.A I <br />I ' U~! I pqo.! I <br />I . <br />. f )'fOMoe..a I.II\MJn <br />r.- ""'~ ~ro <br />1--. ......O\<'.,EC AW'TOll <br />~ .::HEt Jl.EC AUrell <br />r- . @t)..uros <br />'-- 'k .~.o.WEO ""'''0$ <br />: <br /> <br /> <br />l\.15MF5425 <br /> <br />LJMI <br />: $ 1.. 000,0:)0 <br />~_L 50.0:30 <br />11U,DiXPlMJ ~_l ,.-It . <br />:Pf~.ADV'ft.:l.'Il,( .l.~_l, ON).!-~2- <br />:~~~n 'S l,OCQ,OJO <br /> <br />MO:xlCTS. COMP.oPAGG i' <br /> <br />C:OiBNEO SiNGLE UNIT <br />lI!._ <br /> <br />" <br /> <br />llClIn.Y iIoIJt:l<Y <br />~t_l <br /> <br />.' <br /> <br />c <br /> <br />800t.Y ~~ <br />{p*i ~ent: <br /> <br />, <br />i <br /> <br />, l>>, <AQ( ~ '....ilY <br />r-- <br />~ !J4'f. ro <br /> <br />---I <br /> <br />.1 <br />! <br />, <br />=~~ i' <br />; 1 <br />: ~1C~"1.Y."'ACCIOE'lT i' <br /> <br />, c-TMIIl 'WAN ~~s <br />, !\&i'OC;!l.Y: ,tGG I' <br /> <br />i ~C< ;,-~EflCE ,__~_,.___ <br /> <br />I AGGMi_ A~_,.--=~~~==F---- <br />~. IS <br />'I <br />. .\lCT.IITlJ.: I' ()TI;.j <br />. - un-a' ~f;D. <br />, - '~ceI~ I ' <br />e 1 lit . eo. EM"'-C'I"U i $ <br />10:<< . I<'OlJCV Ll&AIT I S <br /> <br />ACORD 2t (2\')1_) <br /> <br />