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Aco� CERTIFICATE OF LIABILIT DATE(MM/DD/YWY) Y INSURANCE11,,,20,4 10/31/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATNELY 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 Atlanta GA 30305 �U� ac No: E-MAIL (404)460-3600 ADDRESS: INSURER S AFFORDING COVERAGE NAIC# INSURER A Everest Indemni Insurance Com an 10851 INSURED American Promotional Events,IriC. INSURER B. 1359629 DBA TNT Fireworks,II1C. INSURER C. P O BOX I3 I g INSURER D. 451 1 Helton Drive Florence AL 35630 INSURER E. INSURER F. COVERAGES CERTIFICATE NUMBER: 12067058 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 PO�ICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DDIriYY MM/DDlYYYY LIMITS A GENERAL LIABILITY Y N SI8GL00242-131 1 U1/2013 1 UI/2014 DAMAGETO RENTED MMERCIAL GENE BILITY PREMISES(Ea occurrence) $ 3OO OOO CLAIMS-MADE �OCCUR MED EXP Am one erson PERSONAL&ADV INJURY S 1�OOO,OOO GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG POLICY PR� LOC $ AUTOMOBILE LIABILITY NOT APPLICABLE � (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ AUTOS NED AUTOSULED BODILY INJURY Per accident $ XXXXXXX HIRED AUTOS AON-OSWNED PROPERTY DAMAGE $ XXXXXXX $ XXXXXX�{ UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS�IAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION NOT APPLICABLE W TA'U- H- AND EMPLOYERS'LIABILITY Y�N TORY LIMIT ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH AC�'IDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ X�{�}{}{X If yas,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (Attach ACORD 701,Additional Remarks Schedule,if more space is required) City of Zephyrhills and Certificate holder is an additional insured on the General Liability as required by written contract subject to policy tc;rms,conditions, and exclusions. 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. 12067058 AUTHORIZED REPRESENTATIVE K-Mart #3761 7422 GALL BOULEVARD ZEPHYRHILLS FL 33541 --�--1 � � - �� ,� � , ACORD 25(2010/05) The ACORD name and logo are regtstered marks of ACORD OO 9�H- 'I O CORD CORP TION.All rights reserved