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,4co� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) `� 11/30/2011 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. 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: MCGRIFF,SEBELS&WILLIAMS,INC. ---- --- -- - -- --- - - PO.Box 10265 aC No Extl;80�-476-2211 ,��: Birmingham,AL 35202 E-MAIL - - — --- -- — -- ADDRESS. _ ___ _ INSURER�S)AFFORDING COVERqGE NAIC# __ —- - -- - - -- --- -- - - iNSUReRn:United States Fire Insurance Compan�r � 21113 - --- -- -- — --- - - -- - - -- - - - - INSURED INSURER B � American Promotional Events,Inc. _ __— __ _ __ __ � dba TNT Fireworks INSURER C � PO.Box 1318 --- - --- — — — - - ---- -- Florence,AL 35631 iNSURER o -- -- ----- --- - - � -- - INSURER E �'� INSURER F. -- - -- -- ----- -- --- -- COVERAGES CERTIFICATE NUMBER:xPH,13F�6 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 RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJF_CT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP - LTR � TYPE OF INSURANCE � POLICY NUMBER MMIDD/YYYY MM/DDlYYYY LIMITS GENERAL LIABIL�TY '�, ' i EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY I ��1AGE TZS�RFRTEb I PREMISES f2a occurrence S —�- -�-- ' CLAIMS-MADE �OCCUR � �' �, �' �MED EXP(Any one person) S__ __ _ --- - - --- _-_ PERSONAL E�ADV INJURY � _ _ _ ---- --- --- -— -- ' , �'� GENERAL AGGREGATE �$ � --- --- - �-- ----- --- GEN'L AGGREGATE LPIROIT APPLIES PER I i PRODUCTS COMP/OP AGG�$ __ __ POLICY 7 LOC $ AUTOMOBILE LtABILITY , COMBINED SINGLE LIMIT ' Ea accidentZ__ :g_ ANY AUTO ' '� BODILY INJUI�Y(Per person) S ALLOWNED SCHEDULED --- ----- --- AUTOS AUTOS i BODILY INJURY(Per acadent)'$ NON-OWNED - --- HIRED AUTOS AUTOS � '' ' �PROPERTV DAMAGE �� - — ;�r acadent) _ _ ___ __ _ $ UMBRELLA LIAB pCCUR EACH OCCUf2RENCE $ EXCESS LIAB _ CLAIMS-MADE Ij AGGREGATE $ —-- - --- --- i--- — ---- -- DED RETENTION$ $ A WORKERSCOMPENSAiION 4087031868 11/01/2011 11/01/2012 X `�/CSTATU- OTH- AND EMPLOVERS'LIABILITV � � T_ORY LIIv11TS ER � ANY PROPRIETOR/PARTNER/EXECUTIVE Y�N I � �' E L EACH ACCIDENT g 500,000 OFFICER/MEMBER EXCLUDED� ❑'N�A , (Mandatory in NH) Ii � Ii � DISEASE-EA EMPLOYEE�, S 500,000 Ii yes,descnbe under '� � _ __ ___ _ ___ _ _ _ DESCRIPTION OF OPERATIONS below '� � � E L DISEASE-POLICY LIMIT ' � 500,000 � S 5 I� $ $ DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (Altach ACORD 107,Additional Remarks Schedule,H more space is required) 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 Zephyrhilis AUTHORIZED REPRESENTATIVE -- 5335 8th Street � l c, Zephyrhills,FL 32703 A� s _-�,.:,;¢r�. _..>� �_ . Page 1 oi 1 OO 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD