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<br />~ov. 27. .2007 11: 38AM <br /> <br />P y r otecni co <br /> <br />No. 9617". ,Po 5 <br /> <br />.A CORD.M :CERTI FICAtI1E iOF :LIABII.JJY;lNSWRANCE <br /> <br />. DATE IMMJDDIYYYY) <br />1.127 2007 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />AtTERTHE COVERAGE AFFORDED BY'THEPOL.lCIES BELOW. <br /> <br />PRODUCER phone; .440-248-4711 Fsx: .440-248-5406 <br />Britton-Gallagher and Associates, ~nc, <br />6240 SOMCenter Rd. <br />Cleveland OR 44139 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />NAIC# <br /> <br />l~eIlRED <br />pyrotecnico ofFlorida,LLC <br />P,O. Box .3~0 <br />New Castle PA 16103 <br /> <br /> <br />INSURER 0: <br />INSURER E:Axi S S <br /> <br />THE POLICIES OF INSURANCE LISTBD BELOW HAVE BEEN. ISSUED TO THE INSURED NAMED ABOVE FOR 'mE POLICY PER.IOD INDICATED. <br />NOTWITHSTANDING ~ REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTXFlCATE MAY BE ISSOED OR MAY PER~AIN, THE 'INSORANCEAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITSSYOWN M1Y HAVE BEEN REDUCED BY PAID CLAIMS. <br />~~: ~~~ POLlCVNUMIlER P~i~~:~~~g.wr P~lfl ~J;~~N L'/oIIT3 <br />A _~NERAL LIABILITY 6990164 1/14/2007 1/14/2008 eACH OCCuRRENCE 51 000 000 <br /> .L COMMERCIAL GEN EAAL LIABILITY PREMISES lEa oec:ut8nce\ sSO 000 <br /> =:=J ClAIMS MADE IiJ OCCUR MEO exp IAnY ontP8Iton) S <br /> - PERSONAL.& AOV INJURY 51 000 000 <br /> -- GENERALAGGREGAlE 52 000.000 <br /> ~'LAGG~E~ILIMIT APn PER: PRODUCr8-COM~OPAGO S :2 ,.Q..QJL..Q...Q.Q- <br /> POliCY P,~ LOC <br />B ~ ~TOMOBILE L1ABIL":" CA3B09096~ ~/14/,2007 1/14/2008 COMBIHEOSINGLE LIMI'r <br /> ~ ANY MITO IEucelaenl) 51,000,000 <br /> I-- ALL OWNED AUTOS . 800lL Y INJURY <br /> 5 <br /> SCHEDULED AUTOS IPet perl on) <br /> - <br /> x... loilREOAuYOS &ODILY.INJUAY <br /> A- IP8I acctdeAl) 5 <br /> 1I0N.ow~EOAUTOS <br /> -...-' .~ PROPERTY DAMAGE 5 <br /> (Per accIaenl) <br /> =JRAOE LIABlulY AUTO ONLY - EAACCIDENT S <br /> ANY IUiTO OTHER THAN EAACC 5 <br /> AUTO DN\. Y: AOO S <br />C ijES&/UrGRELLA LIAIlILITV IuLPOO1l761 1/H/2007 1/~4/2008 EACH OCCURRENCE. $4 000 000 <br /> X OCCU~ 0 CLAIMS MADE AGGREGATE 54 000 000 <br /> 5 <br /> ~ DEDuCTIBLE: 5 <br /> X Rl<TEI'ITION S10 000 S <br />D WORKEfllII CO"PEN8ATION AND 2826C707 6/22/2007 6/22/2008 ~ l.Y;!~T~T~D I 1OJ~- <br /> EMPLOYERS'LIABlLny 000 000 <br /> "NY PROPRIETORIPAATNERiEXECUTIVE E.L. EACH ACCIOENT Sl <br /> OFFICER/IoAEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE 11 000 000 <br /> ~~ec~;:o~:S:ONS belOW E.L. DISEASE - POLICY UMlT 11 000 Don <br />E oltll!A. EAU723 112 1/14/2007 1/14/2008 ss ;000,000 Each Occurrence <br /> Excess' Liab. $5,000,000 Aggregate <br />DI!6CRIPTIO" OF OPERATIONS ILOCATIONS 'VEHIClESl EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />f'irewcrks Display Dats: Decembel; 2. 2007 . . <br />Location; Florida H03pit&1 zephyrhills <br />dditicnal Insured, City of Zephyrhille, PL; Plorida Hospital Zephyrhil18 <br /> <br />COVERAGES <br /> <br />Florida Hospital Zephyrhills <br />7050 Gall Boulevard <br />Zephyrhills FL 33541 <br /> <br />CANCELLATION <br /> <br />SHOULD ANY OF THE ABOVE DESCR.IBED POLICIES BE CANCELLED <br />BEPORE THB EXPIRATION DAT~ TH~REOF, T~ ISSUrNG rNSURER <br />WILL ENDEAVOR TO Ml\.IL 30 DAYS WRITTEN NOTICE 'to TilE <br />cEaTIFlCATE HOLDER NAMED ~O THE LEFT, BUT FAILURE TO DO SO <br />SHALL IMPOSB NO OBLIGATION OR LIABILI~r OF ANY KIND OPON <br />THE rNSURER. ITS AGENTS OR REPRESENTATIVES. <br /> <br />CERTIFICATE HOLDER <br /> <br />AUTHOR~DREPftESEHTAnVE <br /> <br />t2J:/tsJr:=. <br /> <br />@ACORD CORPORATION 1988 <br /> <br />ACORD 25 (2001/08) <br />