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I �� CERTIFIC DATE MMIDD ATE OF LIABILITY INSURANCE ' """' i THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TdiE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES i 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 certifiaate does not confer rights to the certificate holder in lieu of such endorsement s. PRODUCER I NAME: Britton-Gallagher and Associates, Inc. PHONE -- --- ---- 6240 SOM Center Rd _ _ � Fqx --- -- — E-MAIL ---� NC No: 40-5��_2�4-- Cleveland OH 44139 ADDRESS: 'i - ____INSURER(S)AFFORDINGCOVERAGE__ __ _ NAICp ' INSURED ---- --------- ------- --- ------- INSURERA: _III ,ran A �OR1L?d71V -� - 5530 INSURERB. -'�94��— - American Promotional Events Inc �1 -S-��us Ins ComDanv ___ , dba TNT Fireworks iNSUReRC __ i ---- - i P• O. BOX 1 31 8 INSURER D i, �—— Florence AL 35631 iNSUReRe. _ __ — �-- INSURER F. - ----------------�---- I COVERAGES CERTIFICATE NUMBER:1390280319 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN iSSUED TO THE INSURED NAIMEOD ABOVEB OR THE POLICY PERIOD INDICATED NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEN'T IMTH 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, I EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF POLICY EXP ---- -"-�—-- ------- A GENERAL LIABILITY MMlDDNriY MMlDD/YYYY LIM17S laaz�zi32 li/i/2oii i/i/zoiz X . EACH OCCIIRRENCE �$1,000,000 � I COMMERCIAL GENERAL LIABILITY I AMA E �R NT D - i �_ I� CLAIMS-MADE �� OCCUR I I� I I PREI MISES(Eaoccurrencel Sso,o00 �-- - , 1 � � � �i MED EXP(Any one person) $ �� I �' I PERSONAL,4ADVINJURY�$1,000,000 Il-J ----- --- -- I I -" --- GEM�AGGREGATE LIMIT APPLIES PER I I li GENERAL AGGREGATE _�$2,000,000 7- PRO- ' ' �PRODUCTS-COMP/OPAGG j$2,000,000 __ POLICV LOC I ---� _ AUTOMOBILE LIqBILITY � ' $ r � j _ ANY AUTO � ; (Ea accitlen0 _ _ �g_ I ALL OWNED � 'SCHEDULED I BODILY INJURY(Per person) '$ I _ �AUTOS I� NON�OWNED � � I BODILYINJLRY(Peraccident) $ f-- I �__I HIREDAUTOS ____AUTOS �� PROPERTY DAMAGE � ------ 7 � ' I ' Per accident'� � g _ __ �---- �-- _ B UMBRELLA LtpB X � S OCCUR , EAU763757 11/1/2011 1/1/2012 � X EXCESSLIAB � IEACH OCCURRENCE $1,000,000 _ CLAIMS-MADE I ' �------_- DED RETENTION$ I � ' AGGREGATE �$1,000,000 I --- ---j----------- WORKERS COMPENSATION i �$ I AND EMPLOYERS'LIABIUTY Y�N � i ; VUC STPTU- OTH- � ANY PROPRIETOR/PARTNER/EXECUTNE ' ��-�--� � �MLL��_ R OFFICER/MEMBER EXCLUDED� ❑i N I A I I I E L EACH ACCIDENT g (Mandatory in NH) , If yes,descnbe under , � � � ��-'----------- DESCRIPTION OF OPERA71pNS below �� ; `E_L DISEASE_EA EMPLOYEEI$ I � , � E L DISEASE-POLICY LIMIT $ i , i DESCRIPTION OF OpERATIONS/LOCATIONS/VENICLES (Attach ACORD 101,Additional Remarks Schedule,ff more space is requiretl� Certificate holder and City of Zephyrhills are nam , ed as additional insuredsl I CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Wal-Mart THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7631 GALL BOULEVARD ACCORDANCE WITH THE POLICY PROVISIONS. ZEPHYRHILLS FL 33541 � AUTHORIZED REPRESENTATIVE �� ACORD 25(2010/OS) �19$$-2010 ACORD CORPORATION. All rights reserved. The ACORD name an d logo are registered marks of ACORD