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i - - - - -- - - -- - - -- - �`�'O�°� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11 16 2011 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), AUTHORI2ED I 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 NAME: Britton-Gallagher and Associates, Inc. PNONe --- Fnx --- ' 6240 SOM Center Rd. a o exc: -24 -4711 I n�c No�;44Q�4-1234 E-MAIL Cleveland OH 44139 ADDRESS. _ _ I NSURERI S) AFFORDING COVERA NAIC # INSURE RA:L2X 11 7�t0I 1_ I riSllY'3I1 � 2 COR1D _�1��_ , INSURED 5530 INSUR SUYpl IriS COIII�dri� ___ _ r_ _ _ American Promotional Events IriC. INS _ _ � ba TNT Fireworks -- - - - - - - - - -- P . O . BOX 13 18 INSURER — -- -- - -- - - -- - - - - - - - — - � - - - Florence AL 35631 iNSU INSURER F COVERAGES CERTIFICATE NUMBER: 1390280319 REVISION NUMBER: i 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, EXC LUSIONS A ND CONDI OF SUCH POLICIES. L IMITS SHO MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR 7ypE OF INSURANCE A�� , POLICY EFF , POLICY EXP � --- LTR I INSR WVD POLICY NUMBER MM/DDIYYYY � MM/DD/YYYY LIMITS A GENERALLIABILITY 44272132 11/1/2011 I,�1/1/2012 EACH OCCURRENCE $1, 000,00 0 __ � X COMMERCIAL GENERAL LIABILITY � � ' PRE S (E a occu ence SSO 000 _ CLAIMS-MADE X_ l OCCUR � MED EX (A ny one p ?$ _— - ___ � PE RSONA L & AD INJU S1, 000 00 0 _ _ _ � -- - ---- -_—_ _ __— -_ _— I i � GENERALAGGREGATE _ _� $2,000,000 __ _ GEN'L AGGREGATE LIMIT APPLIES PER �F— � ___ �,PRODUCTS-COMPlOPAGG 52,000,000 POLICY I PRO- LOC � - - - -- - - '- 5 - - --- - ' AUTOMOBILE LIABILITY � '� , - { acciden _ _ $ ANY AUTO � BODILY INJURY (Per person) $ ALLOWNED � SCHEDULED ' , BODILYINJURY Peraccident $ i __ AUTOS __ AUTOS � � ( )' '� NON-OWNED PROPERTY DAMAGE I __� HIREDAUTOS AUTOS � � $ -- �Per accident _ _ $ -- -- — ' B i UMBRELLALIAB X � pCCUR � �EAU763757 11/1/2011 71/1/2012 � X EXCESS LIAB , � EAC O �i $1, 000, 000 __ �_CLAIMS-MADE AGGREGATE $1, 000, 000 - T - - ---- , � - - - -- --- - - - - - DED � RETENTION S ' � � � $ WORKERS COMPENSATION � WC STATU- � OTH-' ' AND EMPLOYERS' LIABILITY Y � N __�Y LIMIT ; ER __ _ _ _ _ ____ ANY PROPRIETOR/PARTNER/EXECUTNE E � EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED� ❑ N � A ---- _ _ _ __ _ _ _ _ _ _ _ (Mandatory in NH) E L DISEASE - EA EMPLOYEE'� $ ' If yes, descnbe under i i h ---- -- _ - -- _ _- __ DESCRIPTION OF OPERATIONS below I E L DISEASE - POLICY LIMIT $ i I ' I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 107, Additional Remarks Schedule, if more space is requiretl� I Certificate holder and City of Zephyrhills are named as additional insureds. I I CERTIFICATE HOLDER CANCELLATION I ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN i Wal -Mart ACCORDANCE WITH THE POLICY PROVISIONS. • 7631 GALL BOULEVARD I ZEPHYRHILLS FL 33541 AUTHORIZEDREPRESENTATIVE �� OO 1988-2010 ACORD CORPORATION. All rights reserved. , ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD