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A R D CERTIFICATE OF DATE (MMIDDIYYYY) �... -- LIABILITY INSURANCE 6/9/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CON TACT Britton - Gallagher and Associates, Inc. NAME: PHONE FAX 6240 SOM Center Rd. (A/C. No, Ext): 4 4 0 - 24 8 - 4 7 1 1 (A/C, No):440- 248 -5406 Cleveland OH 44139 A ADD DREDRE SS: PRODUCER CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A :Lexington Insurance Co Galaxy Fireworks Inc. 204 E. Martin Luther King Blvd INSURERB:Axis Surplus Ins Company Tampa FL 33603 INSURERC:New Hampshire Insurance Co. 23841 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 821771136 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/YYYY) (MMIDD/YYYY) LIMITS A GENERAL LIABILITY 64200908 6/10/2010 6/10/2011 EACH OCCURRENCE $1,000,000 DAMAGE RENTED X COMMERCIAL GENERAL LIABILITY PREM SES occurrence) $50, 000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ PERSONAL BADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP /OP AGG $ , 000,000 POLICY a X LOC C AUTOMOBILE LIABILITY CA66144430 6/10/2010 6/10/2011 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE X HIRED AUTOS $ (Per accident) X NON -OWNED AUTOS $ UMBRELLA LIAB X OCCUR EAU753159 6/10/2010 6/10/2011 EACH OCCURRENCE $4,000,000 X EXCESS LIAB CLAIMS -MADE AGGREGATE $4,000,000 DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY ¥ / N TORY LIMITS ER ANY PROPRIETOR/PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Stand Location: 5943 -5953 Gall Boulevard, Zephyrhills, FL 33542 Additional Insured: City of Zephyrhills, Pasco County Board of County Commisioners, Zephyr Mark Rider all their agents, representatives and subsidiaries. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Zephyrhills, Pasco County Board of County Commisioners and Zephyr Mark Rider AUTHORIZED REPRESENTATIVE 5335 8th Street Zephyrhills, FL 33542 © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD