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�CO°� CERTIFICATE OF LIABILITY INSURANCE DATE�MM/DD/YWY) 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�, AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. �i 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: I Britton-Gallagher and Associates, Inc PHONe -- -- --— �Fax - - -- -- 6240 SOM Center Rd. - - 71 ��AiC No1:440=544-1234___ i Cleveland OH 44139 A DR�ESS: I ___ INSURER�S)AFFORDING COVERAGE __ _ _ NAIC 1t � - ---- --- -------- - ----- -- INSURERA mpan�'-- ---- 4 -L- — INSURED 553 O INSURER B. ��urplus I�_�m-��--- -- --- - � American Promotional Events Inc. INSURERC. dba TNT Fireworks - - - ---- --- --- — ---- rt------ P O. BOX 1 3 1 8 INSURER D._ _ __ _ I -------- --- - - --�- - Florence AL 35631 INSURERE. INSURER F. COVERAGES CERTIFICATE NUMBER:129211648 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 i INDICATED NOTIMTHSTANDING 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. �LTR' TYPE OF INSURANCE IN R WVD� POLICY NUMBER MM/DOY� MM/DDY� LIMITS A i GENERALLIABIUTY 44272132 I1/1/2011 1/1/2012 EACH OCCURRENCE $1,000,000 �' X i � � �' DAMA E REN ED ��-- , COMMERCIAL GENERAL LIABILITY �� PREMISES(E:a occurrence SSO,000 �----- I j CLAIMS-MADE �OCCUR �, II MED EXP�Any one person) $ ' � �----- — - - - �' PERSONAl8�ADVINJURY $1,000,000 �- j GENERALAGGREGATE $2,000,000 i GEN'L AGGREGATE LIMIT APPLIES PER I � PR�p�CTS-COMPlOP AGG $2,000,000 r �� PRO- , I � POLICY LOC , $ AUTOMOBILE LIABILITY � - � � ��, Eaaccident� _g_ '� ANY AUTO � ��, , BODILY INJURY(Per person) $ I � ALLOWNED � SCHEDULED I . _ AUTOS � _ AUTOS � BODILY INJURY(Per acatlent) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE �$ - 'F_ AUTOS � �(Peraccitlen0 __ I� � � $ - --- I B UMBRELLALIAB X OCCUR � EAU763757 11/1/2011 1/1/2012 �EACH OCCUF2RENCE i$1,000,000 ' X �EXCESS LIAB '� I �, i � — - -- i I CLAIMS-MADE � i � -- -- , AGGREGATE I$1,000,000 �--- - — �, DED � RETENTION$ �I ' $ WORKERS COMPENSA710N � Vv�STPTU- OTH- AND EMPLOYERS'LIABILITY Y�N I '��T Y T R ANY PROPRIETOR/PARTNER/EXECUTIVE ' E L EACH ACCIDENT OFFICER/MEMBER EXCLUDED� ❑ N/A I 5 � (Mandatory in NH) , ' I I �E L DISEASE-EA EMPLOYEE�$ � If yes,descnbe under � � �f DESCRIPTION OF OPERA710NS below i �� ( E L DISEASE-POLICY LIMIT I g I ' i � i I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES�Attach ACORD 101,qdditional Remarks ScheOuk,if more space is required) j 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 K-Mart ACCORDANCE WITH THE POLICY PROVISIONS. , 7422 GALL BOULEVARD �I ZEPHYRHILLS FL 33541 pUTNORIZEDREPRESENTATIVE ��1� O 1988-2010 ACORD CORPfJRATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD