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,aco� CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDIYYYY) 1��1/2014 10/3ll2013 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 Lockton Companies,LLC NAMEACT 3280 Peachtree Road NE,Suite#250 PHONE Fnx ac No: Atlanta GA 30305 E-MAIL (404)460-3600 ADDRESS: INSURER S AFFORDING COVERAGE NAIC il INSURERA Everest Indemni Insurance Com an 10851 INSURED American Promotional Events,IT1C. INSURER B. 1359629 DBA TNT Fireworks,IIIC. INSURER C. P O Box 1318 INSURER D. 4511 Helton Drive Florence AL 35630 INSURER E. INSURER F. COVERAGES CERTIFICATE NUMBER: 12067057 REVISION NUMBER: XXXXXXX 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 7ypE OF INSURANCE ADD SUBR POLICY EFF POIICY EXP LTR POLICY NUMBER MMIDD MMlDD/YYW LIMITS A GENERAL LIABILITY Y N SI8GL00242-131 11/1/2013 11/1/2014 DAMAGETO RENTED MMERCIAL GENE BILITV PREMISES(Ea occurrence) $ 3OO OOO CLAIMS-MADE X OCCUR MED EXP M� one erson PERSONAL&ADV INJURY 5 ]�OOO�OOO GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG POL�CY PR� LOC $ AUTOM081LE LIABILITY NOT APPLICABLE N � (Ea acadent) $ ANY AUTO BODILY INJUF2Y(Per person) $ ALL OWNED SCHEDULED BODILY INJUFiY Per accident $ AUTOS AUTOS NON-OWNED PROPERTY D.4MAGE HIRED AUTOS AUTOS $ XXXXXXX sXXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE S XXXXXXX EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION NOT APPLICABLE W A7U- TH- AND EMPLOYERS'LIABILITY Y!N TORY LIMIT ER ANY PROPRIETOR/PARTNER/EXECUTNE E.L EACH AC�"IDENT $ OFFICER/MEMBER EXCLUOED? ❑ N 1 A " (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ XX�XXX If yes,descnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS f LOCATIONS/VEHICLES (Aftach ACORD 701,Additional Remarks Schedule,if more spaee is required� City of Zephyrhilis and Certificate holder is an additional insured on the General Liability as required by written contract subject to policy terms,conditions, and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION OATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12067057 AUTHORIZED REPRESENTATIVE Wal-Mart #0706 7631 GALL BOULEVARD ZEPHYRHILLS FL 33541 � ' r'� " -"-,�� ,�/,/��`. --t, �_ ACORD 25(2010/05) The ACORD name and logo are registered marks oi ACORD �OO HB$- 'I O CORD CORP TION.All rights leserved