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<br />Oct 12 2007 3:03PM <br /> <br />HP LASER.JET FAX <br /> <br />p.3 <br /> <br />I'IlUlUl:B A <br /> <br /> <br />FI. 33706 <br /> <br />ITV _TlI""'~ <br />10/12/07 <br />THIS CI!R'JIIlCAlE .. _D AS A MATTER OF INF0RIM11ON <br />QNL Y AND COIFE.. NO RIGH'I8 WION 11tE CERTIFICATE <br />HOLDD. 1M. ClRnFICAtE DOEllIOT AMEND, EXTEND OR <br /> <br />-- Universe Novelty & FJ.reworks <br />Company, Inc. <br />P.O. Box 1862 <br />Riverview FL 33568 <br /> <br />AFFORDING COVERMIE <br />MUlI!IIA: T. H. E. Insurance <br />8: <br /> <br /> <br /> <br />D: <br /> <br />"THE PCJUCES OF INBURANCE USTED IELOW HNJE BEEN 188UED 10 1HE IN8UIED NAIlED AIICM: FOR THE PCIJCY PERIOD INDICATED. NOTWTHSTANDING <br />N('( REQUI"'91E11T. 1ERM OR CONDmON OF MY COIf1"RACT OR ontER DOClIENT WI1H RE8PECT TO V4H1CH 11111 CERlIFICATE MAY BE ISSUED OR <br />w.y PERTAIN. 11fE INIUMNCEAFFOftOEDBV tHE POUCIdDEICIIIIED HEAEIN 188UBIECTTOAU. tHE TERNS. EXClU81ON8 MOCONDI1lON8OF SUCH <br />.. AOGRBMTE UM1S SHOlIWf IMYHAVEBEEN REDUCED flY PAID ClAIMS. !it <br />1.. l-.r1 <br /> I_LIUUIY . 1.,000,000 <br />.A X: 1 ClMB':'~R M7MP2991 02/17/0'7 02/17/08 IWIIllE1DRBnm . 50,000 <br /> & <br /> --- aNNIUUItY . 1,000,000 <br /> r---- GEIIEIW. MGIII!lMTE . 1,000,000 <br /> ,- LMT - CCIIUllOI' A8G . <br /> ! MlJt!'t r l~ r l~ <br /> UMUIY ~1lNGLE""'" <br /> . <br /> Ntr AUTO .. ....... <br /> ~ <br /> r-- H.l. (MNEO AIITOlI IIClIIIILYIllJUflY . <br /> lICH!DIIUDAUTClI f'IIr~ <br /> I-- <br /> '---- H1I1EDAUlOI 8CIIIIL Y INJURY <br /> Per KllIIIIIllO . <br /> - NCMQ-'EDNJRl8 <br /> - PIU)IIERTY CWMGe . <br /> ....~ <br /> ~~ AUlOOILY. E'AACCI:lINl' . <br /> NtrIlUt'Cl cmER 1HAN ~lllCC . <br /> AUlOONlY: ACl: . <br /> =t::RIW'O-::'1IADE EAiCH oca....ca II <br /> II <br /> ==l OECUCTl8LE I <br /> I. <br /> . II <br /> WIIMU"COIII'MM1lClN _ I WI: ITATU- I Io.!!'- <br /> ~ LMIILI1T '. ._u~ I <br /> IIIt'I ~MlJlERlEXECUT1\IE I <br /> 0fIt0E,. - _DQ.UDEDt 1.1., 1lI8eME- EA EIII'lOVEE <br /> i ~........ .'--. I <br /> cmtn <br />_....0I'4.~/UIVo_'___'__11 1..-..,.... ,.,.......~ <br />EFFECTIVE FROM 12/10/07 THROUGH 01/01/08 ( INCUDES SET UP AND TEAR DOWN DATES) <br />ADDITIONAL INSURED: CITY OP ZEPHYRHILI.S <br /> 5335 8TH ST, ZEPHYRHII.LS, FL <br />AS RESPECTS TO THE OPERATION OF THE NAMED INSURED ONLY. <br />FIREWORKS STAND SITUATED AT 5935 GALL BLVD., ZEPHYRHILLS, FL <br /> <br />c:rTY OF ZEPHYRHILLS <br />5335 8TH ST <br />ZBPHYRHILLS FL 33542 <br /> <br />1HDUUt1lllr0l'..... ....a.alllllld ..... _ CIlIInI.La-o._IJIOlM'nON <br />_.........111I___..._ ntllM. ~ DAW~ <br />lG1ICI1OlIe C8mPIlM......__.. Le'r,.uT.......101IO m...u. <br />...c.e _-...lICII _..-.m' CII' AIIf............ ................._ <br /> <br />~. <br /> <br /> <br />ACORD 21 t2lD11D1) <br />