|
<br />-
<br />
<br />ITV N; RA,-N~~ ,W a.tf03Di'Z6'
<br />THIS CIATIFlCIoTE l-SIISUID ~s A MATTtR OF INftlAMAT10N
<br />ONLY AND COIt,IR,:; NO AIGHTt UfION T~U! CERTIFiCATE
<br />HOL.D!R. 1111 CEl~"I'ICA TIi DOES NOT AMiNO, IXi !ND OR
<br />, :..,!.~
<br />I
<br />INS RI FOIU)IN,ilJ C9-~Y-9E _,_ _____..~, ~L-.- _....--1
<br />1N!!l!l~A T __~~-:_.l~r~~ce C~~~.f~n}' -"- -------,~
<br />
<br />,'N!V"~~_-...- -.--- ----' ,-------,-'---- --' ..,,- --" ,-,,,-' ,- ,. !
<br />
<br />, 1ll<6UI'tEf< C' ,.__.____ -. --'-" - ..----....-- ,..'--
<br />--' ---'----1
<br />~!!t52,-- ' ___ ---------- -- -t--, .---
<br />IINIIUl'\Ii~ Ec ._,_..L. -.-,---
<br />
<br />--
<br />
<br />
<br />ACORD,.,
<br />
<br />~I{OIl~ClP All~eo spec a- ty
<br />~0451 Gulf Blvd.
<br />Treas1;re Island, FL 3;>'706
<br />800/2:::7-3355
<br />
<br />
<br />~I-ll- - Uni vex Be Nove 1: ty&FIrewcrk'.
<br />campa!: y , ! nc .
<br />P.O. E;:lX 1862
<br />Riverview FL 33568
<br />
<br />~1II!.AftFl'l -,-'_. -~.
<br />THE POUCi e:s Of I~::VAANCE USTiO aE.l.OW HAVE BEa/lssueD lC: "..e MURal ..w.lEEl MOVC FOR TH; POUCv 9!!RIOO INDlCAn\), NUT'M Tl, 3T" \jDIN~
<br />ANY ilEQUIReMENT, TERtii OR eONClTION Of N4Y CO~T OR or dE. ~ OOCUMENTWTI-l RESflECl' TO ,~tC'" THIS CERTIFICA'TE"" f BE I SSuE.,) 01-
<br />'.,lAY PER'ToIJN, THE ::~SIJRANce A?FOAOED IV THE POLICIES oe.sCRISED HEReiN 19 SUBJeCT ro AU. THE 'ERMS. (XCLU!IOI'iS A~O COHOlT'OI'.s OF SIC"f
<br />I='OLlCI!:-S, AQGREc;.:,'fE LIMiTS SHONN ~v AA'IlE BEEN REOiJiCEO all( PAID CLAIMS, '
<br />
<br />~~~---~;:::::'~-i-'- ~~\lMtllt 17.~~~~:if"~~T-'-~-~~":ar ~ =~._~-',=~-"
<br />1 ~"""l..IA"\JTT I \ ~.Qg;.\L'1I!Et<<:f____ 1-: -'-~~~ ,~': :
<br />A i~~~""~\f,,~m, "'M~919' 02/17/06 02/1?IO?I~"j..~_i'.-~O_'_.~-
<br />
<br />re- . C~'o\S"'~ ~"OCClJR I I I_!/\IQ.RC..!~~~.,_:,J-- -..--,_..---~
<br />_ ----~-l f::;"A~l,'l~L,. ~_::L~!~~?-~ll.--i
<br />r-J_- 1 : GEIl!~~L,--<L_-_~~~oe.: i
<br />i~"~~UIIIIT'.I'~e.s~ . I ~~:,;;QL.~,~,t~L, '---"-'--'--'"---\
<br />, .' I PliO., , I I I
<br />r ;, ""l I - -\
<br />AIJYCII~ ~TY i OCllll;lltDllIN<i~E uiII,r 1 - I
<br />IH1~O 1 :106_-0 I" '
<br />r -t- -- -,------!
<br />. ~~~ ~~ j
<br />, : SCl8Ul..l\t: AIIrOli : (Per ...-1 i $
<br />
<br />g ="_, ! ~~~-=--I---=-=~
<br />
<br />-1-.--.-- ____---l MO,,!<m'C-'IAA:lt j
<br />,I (...ra<'ld onl) $ (
<br />I - \ --,,----.\
<br />~29.ID!.:~~~_L - ----------i
<br />1 OTME'llMN ~.~~-:.L -- --' ,--
<br />--+--+-, i~TOONL~':
<br />lW:/loc2~liL~1~-~- =,=~
<br />\ ; AO~QAjti.~~~=-~-=~_ __ ~~~=_~:-.-:=-~-
<br />
<br />1 I 'j ,
<br />
<br />! I _, r--~~:~~'-~:~rc-~:==
<br />-r f-1\PIIY""'Tll,-.. "ii4--.. ---.------
<br />
<br />tl Ef~~H:,~..=-~-==,:~~-:n
<br />
<br />-- ..._.__.~~. -- - ....---..-.
<br />
<br />I \ I
<br />_I 1
<br />\.:our:",lTTlON ClJ OPI!llItl'QI.~ ;&...or:"'lICNSo' W/lIC~.! !&GLUeIDMI A~'" ~t..l' i -- ,,--*1
<br />I EFFECTIVE FRGM 6(15/06 THROUGH 7/04/06
<br />. ADDITIONAL INSURED: CITY OF ZEPHYRHIL~S
<br />5335 8TH ST, ZEPHYRHILLS, FL
<br />I AS RESPEc..'TS '1'0 THE OPERATION OF ':'HE NAAEV INSURED ('NLY,
<br />", RE: FIREWOR.KS STl~D SITUATED AT 5935 GALL BLVD., ZEPHYRHILLS. FI..
<br />.' 6JUICln"l,.ATaCN ' , ~-----'
<br />CITY F Z E PH "i RH ILLS tHOU\D AH'I" OF 'lM1! llIXt\It I3ICRlIlllO l'(lUC1S'" CAI'ClI!'.I..I:e> ell'O"I! 1141. ~ _"::11" ,-'
<br />:; 3 3 58TH S"I' :M'IE TClWCW. 1M! ~...u l"UAIl" WtU. I~II TO MAl\. .1.!L ~...' 1 WIlIrm'
<br />Z E PHYRHILLS FL 3354 U I rGllC5 T01t41 CUlllP'ICA"'HC~ IWIlltlltl nil wr. ./HAIW'" 10 DOal' ~H"u..
<br />L==:,,,,__~._n....'~'- -,,,,,,,,,,,,._,.,,
<br />
<br />~"r.o. J::Yl - -
<br />
<br />"'{-4 C ACORD ex,;~~tON 1'Si
<br />
<br />,
<br />I
<br />I
<br />[-.-7-
<br />I
<br />
<br />ClAAACI! UAlIUn
<br />
<br />f-
<br />
<br />--i MI"f A'J1Q
<br />
<br />1Jll:1IIJUId"1LU. UAPJn
<br />_.J OCOJA 0 =u.!I,u, M.cl:
<br />
<br />, I
<br />r--: t:EOUc'!lIl. t
<br />11
<br />I , , I flHEMTiQ-_L
<br />
<br />r i \lWoa.- llOM".,...,..:I1l ANI)
<br />I t~.LINIlLt'"
<br />~~ P~OI'"I!'Ttlj\j" ~;" E~IUECU11VE
<br />i ::lI"IC~N\IiJiI8E1l f,..cLl,;~cn
<br />I Ir .. ~eoGttlie "no,.
<br />: C": - ...
<br />
<br />I
<br />-1
<br />\
<br />I
<br />
<br />QTMIIl
<br />
<br />r -.l
<br />
<br />ACORD U I~01IOal
<br />
|