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Apr 22 09 12:11p Galaxy Fireworks, Inc. 813- 234 -1516 p.2 <br /> CERTIFICATE OF INSURANCE ISSUE DATE <br /> • ACORD 0412V2009 <br /> PRODUCER This certificate is issued as a matter of information only and confers no rights <br /> MCGRIFF, SEIBELS 8 WILLIAMS, INC. upon the Certifigte Holder. This Certificate does not amend, extend or alter the <br /> P.O. Box 10265 coverage afforded by the policies below. <br /> Birmingham, AL 35202 <br /> 800 -476 -2211 • COMPANIES AFFORDING COVERAGE <br /> • <br /> Company James River Insurance Company <br /> A <br /> INSURED Company <br /> Galaxy Fireworks, Inc. B <br /> 204 East Martin Luther King Drive <br /> Tampa, FL 33603 Company <br /> • <br /> Company <br /> D <br /> Company <br /> E <br /> This is to certify that the policies of insurance described herein have been issued to the Insured named herein for the policy period indicated. Notwithstanding <br /> any requirement, term or condition of contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by <br /> the policies described herein is subject to all the terms, conditions and exclusions of such policies. Limits shown may have been reduced by paid claims. <br /> CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY <br /> LT EXPIRATION <br /> A GENERAL LIABILITY 000319120 06;10/2008 EACH OCCURRENCE $ 1,000,000 <br /> 2:3 Commercial General Liability 06110/2009 FIRE DAMAGE S 50,000 <br /> ❑ Clams Made ® Occurrence <br /> ❑ Owners' and Contractors' Pnotecbon MEDICAL EXPENSE $ EXCLUDED <br /> Dr Deductible 52,500 PERS. AND ADVERTISING INJURY $ 1,000,000 <br /> l ❑ GENERAL AGGREGATE $ 2,000,000 <br /> General Aggregate Limil app ,es per. PRODUCTS AND COMP. OPER. AGG. $ 2,000,000 <br /> ❑ Policy ❑ Project Din location <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> ❑ Any Aultomosile BODILY INJURY (Per person) $ <br /> ❑ All Owned Automobiles <br /> ❑ scheduled Automobiles BODILY INJURY (Per accident) <br /> ❑ flied Automobiles PROPERTY DAMAGE (Per accident) $ <br /> O Non -owned Automobiles COMPREHENSIVE <br /> I ❑ COLLISION <br /> WORKERS' COMPENSATION j WC Statutory Limit I 1 Other 1 1 <br /> AND EMPLOYERS' LIABILITY EL EACH ACCIDENT $ <br /> EL DISEASE (Each employee) $ <br /> EL DISEASE (Policy Limit) $ <br /> A EXCESS UABILrTY '000319130 06/10/2008 EACH OCCURRENCE $ 4,000,000 <br /> 011 0cc4rence OClaims blade 06/10/2009 AGGREGATE 1$ 4,000,000 <br /> $ <br /> • <br /> $ <br /> $ <br /> Please Note, Exces retie Policy will extend •• o e and = - • • Au • • . ::. =' • Policy # M8VF9450. Limit $1,000,000 CSL,; 11/18!08 to <br /> 11/18/09; Insu ith T.H.E. Insurance • • -ny, Agent: Allied Specialty Ins.; easure Island. FL ( : 61- 237-3355) <br /> AND: <br /> Florida Worke Compensation Cove . • ge Pokcy# WC089451: Limit: $1,000,000; 1 /18/08 to 11/18/09 is pr • 'ded by T.H.E. Insurance Company, Agent Allied <br /> Specialty Ins.; reasure Island, FL (1 -80C- 237 - 3355); <br /> jcontinued next page) <br /> CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO <br /> MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF <br /> ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> City of Zephyrhills, Pasco County Board of County <br /> Commisioners and Zephyr Mark Rider Authorized Representative <br /> 5335 8th Street <br /> Zephyrhills, FL 33542 <br /> USA <br /> . <br /> , Page 1 of 2 l CenilicatelD• 7J35NHJY <br />