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C ERTIFICATE OF INSURANCE ISSUE DATE <br /> ACDRDTM 12/01/2009 <br /> PRODUCER This certificate is issued as a matter of infgrmation only and confers no rights <br /> MCGRIFF, SEIBELS & WILLIAMS, INC. upon the Certificate 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 /> company Columbia Casualty Company <br /> INSURED Company James River Insurance Company <br /> Galaxy Fireworks, Inc. <br /> 204 East Martin Luther King Drive <br /> Tampa, FL 33603 Company <br /> C <br /> Company <br /> D <br /> Company <br /> • <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 ray have been reduced by paid claims. <br /> CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY <br /> LT EXPIRATION <br /> A GENERAL LIABILITY 4015647136 06/10/2009 EACH OCCURRENCE $ 1,000,000 <br /> Convnarcial General Uability 06 /10/2010 FIRE DAMAGE $ 50,000 <br /> ❑ Claims Made ® occurrence <br /> I] owa ana� MEDICAL. EXPENSE $ EXCLUDED <br /> ® Deductible $2.500 PERS. AND ADVERTISING INJURY $ 1,000,000 <br /> ❑ GENERAL AGGREGATE $ 2,000,000 <br /> General A9gr� teUmtteppiiesper. PRODUCTS AND COMP. OPER. AGG. $ 2,000,000 <br /> ❑ <br /> Policy DI project Location <br /> AUTOMOBILE LIABILITY COMBINED SINGL LIMIT $ <br /> El Any Automobile BODILY INJURY (P r person) $ <br /> ❑ A9 Owned Automobiles <br /> ❑ Scheduled Automobiles BODILY INJURY ( r accident) $ <br /> ❑ Hired Automobiles PROPERTY DAMA E (Per accident) $ <br /> ❑ <br /> Non-awned Automobiles COMPREHENSIVE , <br /> COLLISION <br /> WORKERS' COMPENSATION WC Statutory Limit I Other 1 <br /> AND EMPLOYERS' LIABILITY EL EACH ACCIDENTf $ <br /> EL DISEASE (Each + employee) $ <br /> B EXCESS LIABILITY 000319131 EL DISEASE (Polio Limit) <br /> BI $ <br /> SL ❑ LITY 06/10/2009 EACH OCCURREN E $ 4,000,000 <br /> 06/10/2010 AGGREGATE $ 4,000,000 <br /> $ <br /> $ <br /> $ <br /> Please Note, Excess Umbrella Policy shown on certificate will extend coverage to the underlying: Automobile Liability Policy # M8VF3034, Limit $1,000,000 <br /> CSL,; 11/18/09 to 11/18/10; Insured with T.H.E. Insurance Company, Agent: Allied Specialty Ins.; Treasure Island, FL (1-800 -237 -3355) call direct for COI <br /> AND: <br /> r <br /> Florida Workers Compensation Coverage Policy# WC093035; Limit: $1,000,000; 11/18/09 to 11/18/10 is provided by T.H.E. Insurance Company, Agent: Allied <br /> s� Specialty Ins.; Treasure Island, FL (1 -800- 237 - 3355); Call direct for COI <br /> (continued next page) <br /> CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIB D POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, THE SSUING INSURER WILL ENDEAVOR TO <br /> MAIL 30 DAYS WRITTEN NOTICE TO TH 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 /> Pasco Board of County Commissioners and Zephyr Mark Authorized Representative <br /> Rider <br /> 5953 Gall Boulevard <br /> Zephyrhills, FL 33542 <br /> Page 1 of 2 Certificate ID# 98QMK1Y9 <br />