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'4CO°� C E RT I F I C DATE(MM/DO/YYYY ATE OF LIABILITY INSURANCE ' THIS CERTIFICATE IS ISSUED AS ,A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE1H0 DER. THIS CERTIFICATE DOES NOT A,FFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CEhTIFICATE 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 NTA Britton-Gallagher and Associates, If1C. NAME: 6240 SOM Center Rd. P"o"E F� Cleveland OH 44139 e-nnai� - ac No• _ _ ADDRESS. INSURER S AFFORDING COVERAGE NAIC# INSURED INSURER A: INSURER B: I P � n m Galaxy Fireworks Inc. 204 E. Martin Luther King Blvd INSURERC:(v m In r � Tampa FL 33603 INSURER D: INSURER E: COVERAGES INSURER F: CERTIFICATE NUMBER:1688712575 REVISION NUMBER: THIS IS TO CERTIFY THAT THE OLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 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. INSR LTR TYPE OF INSURANCE INSR WVp pOLICY NUMBER POLICY EFF POLICY EXP A GENERAL LIABILITY MMro��Y MMID�n'n'Y LIMI7S 4200908-02 /10/2012 /10/2013 X COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE $1,000,000 D MA R N CLAIMS-MADE a OCCUR i �PREMISES(Ea occurcence) 550,000 MED EXP(Any one person) $ IPERSONAL&ADVINJURY $1,000,000 GEN'L AGGREGATE IIMIT APPLIES PER. I , GENERAL AGGREGATE $2,000,000 POLICY PRO- X �� PRODUCTS-COMP/OpAGG 52,000,000 C AU70MOBILE LIpBILITY $ CA0661444302 /f0/2012 /10/2013 x ANYAUTO � Eaaccident $1,000,000 ALL OWNED SCHEDULED I BODILY INJURY(Per person) $ AUTOS AUTOS ' BODILYINJURY Peraccident) $ X HIRED AUTOS X AONO-0WNED i I PROPERTY DAMAGE Per accident $ B UMBRELLA LIAB X $ OCCUR EAU753159 /10/2012 /10/2013 X EXCESS LIAB CLAIMS-MADE EACH OCCURRENCE $4,000,000 DED RETENTION$ AGGREGATE $4,000,000 WORKERS COMPENSATION $ AND EMPLOYERS'UABIUTY WC STATU- OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED� ❑ N I A I E.L EACH ACCIDENT $ (Mandatory in NH) � If yes,descnbe under I E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below I i I E.L.DISEASE-POLICY LIMIT $ � I DESCRIP710N OF OPERATIONS!LOCqT10NS/VENICLES (Attach ACORD 101,qddkional Remarks Schedule,if more s Stand Location. 5943-5953 Gall Blvd.Zephyrhills, FI 3542 ��S reQ��.�a� Additional Insured: City of Zephyrhills, Pasco County Board of County Commissioners, Mark Ayer and all their agents, representatives and subsidiaries CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Zephyrhilis, Pasco County Board of County CCORDANCE WITHDTHE PO CY PROVIS ONISE W��L BE DELIVERED IN Commissioners and Mark Ayer 7162 Reading Rd. Suite 730 Cincinnati OH 45237 AUTHORIZED REPRESENTATIVE �� ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD RD CORPORATION. All rights reserved.