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CERTIFICATE OF INSURANCE ISSUE DATE ACORD 03/09r2010 PRODUCER This certificate is issued as a matter of information only and confers no rights SEIBELS & WILLIAMS, INC. upon the Certificate Holder. This Certificate does not amend, extend or alter the MCGRIFF, P.O. Box SEIBELS afforded by the policies below. Birmingham, AL 35202 COMPANIES AFFORDING COVERAGE 800 - 476 -2211 Company United States Fire Insurance A INSURED Company James River Insurance Company Pyrotecnico of Florida, LLC P.O. Box 310 New Castle, PA 16103 Company Westchester Surplus Lines Ins Company See Attachment Company E 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 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 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. CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY LT EXPIRATION B GENERAL LIABILITY 000292602 01 /1 EACH OCCURRENCE $ 1.000,000 (X) Commercial General Liability /14/2 FIRE DAMAGE S 100,000 ❑ aeons Made ®Occurrence MEDICAL EXPENSE $ EXCLUDED ❑ Owners' and Contractors' Protection -- PERS. AND ADVERTISING INJURY $ 1,000,000 ® Par Protect Cap $2,000,000 Gen Agg GENERAL AGGREGATE S 5,000,000 General Aggregate Limit apples per PRODUCTS AND COMP. OPER. AGG. $ 2,000,000 ® Po'fcy ❑ Protect ❑ Location A AUTOMOBILE LIABILITY 1337289354 01/14/2010 COMBINED SINGLE LIMIT S 1,000,000 Any Automobeo 01/14/201 BODILY INJURY (Per person) S ❑ All O.med Automobiles (] SUredu'edAutomob1os BODILY INJURY (Per accident) S ❑ H red Automob^es PROPERTY DAMAGE Per accident} $ ❑ Non -avned Automob'es COMPREHENSIVE $1000 deductible ❑ COLLISION $1000 deductible D WORKERS' COMPENSATION 6FR13UB0668N01409 06/22/2009 WC Statutory Limit I X I Other 1 1 AND EMPLOYERS' LIABILITY EL EACH ACCIDENT S EL DISEASE (Each employee) S EL DISEASE (Policy Limit) S [3 EXCESS LIABILITY 000296262 01/14/2010 EACH OCCURRENCE $ 4,000,000 IL Occurrence ❑Clams Made 01 /14/2011 AGGREGATE $ 4,000,000 C EXCESS UMBRELLA COVERAGE G22054752003 01/14/2010 Excess of Underlying S4, Million $ 5,000.000 01/14/2011 $ $ S S Fireworks Display Date: March 13, 2010 Location: Zephyr Park/Lake Zephyr, 38116 5th Ave., Zephyrhills, FL 33542 City of Zehyrhills The above listed are Additional Insured respects to General Liability policy as required by written contract subject to policy terms, conditions and exclusions. The Certificate Holder is named as Additional Insured with respect to General Liability as required by written contract subject to policy terms, conditions, and exclusions. CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Authorized Representative Main Street Zephyrhilis 5224 7th Street } Zephyrhilis, FL 33542 Page 1 of 2 Certificate l0 a LPLGWYOF