Laserfiche WebLink
_ _ � .._. _ _ _ <br /> I <br /> � <br /> ���' °R � CERTIFICATE �F �.IABI�tTY 1NSURANCE DA'I'E(MN/pOIYYI'l� <br /> �»21zo�a <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INF4RMATIQN ONLY ANp CONFERS NQ RIGH75 UPON THE CERTIFICATE HOLDER. THIS <br /> CERTlFICATE DOES NOT AFFlRMATIVELY OR NEGATIVE4Y A END, EXTEND OR ALTER THE GOVERAGE AFFORDED BY TWE POL,ICIES <br /> BEIOW. Tti�S CERTIFICAI'E OF ►NStlRANCE OOES NOT CON TFTUTE A C4N7FtAC'F BETWEEN THE ISSUING INSURER(S�, AifTFF4F2I2ED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLD R. <br /> IMPORTANT: If the certificats holder is an ADpIT#ONAL INSURED, s policy(ies)mus!be endorsed. If SUBROGATION fS WAIYED,subject to <br /> � the terms and conditiotts of the policy,certain polictes may requi an endcrsement. A statement on this ce�tificate does not corifer rights ta tha <br /> icertificate holder i�lieu of such endorsernent s. <br /> � PR4dUCER NAME: <br /> Britton GaNagher PHONE C No: <br /> One Cieveland Center,Flaor 30 e.�,n�. <br /> � 1375 East 9th StreeE AD°aE�= -----T— <br /> Cleveland t3H 44114 __Y �HSUa�rets}afFOFeourG eovsrenc��_.�_�.... ri,ae e <br /> INSURER A.{�(I m m � <br /> �n�suasu ms���a:Ev�refit m m�i�}r lnsurance�G>• ----.. ,rE0851 <br /> USAHailoweenPlanetlnc. �NSURERC:^___�____,_�_._______ _�__� <br /> dba USA Fireworks vuua�R o: � � <br /> 7800 Records St.,Ste.A _ —_. . <br /> Indianapolis iN 46226 truua�RE. _�___ __.----�_. i _ <br /> INSURBR F. <br /> COVERAGES GERTiFICATE NUMBER:17276 5087 REVISiON NUMBER: <br /> TMIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 9EL0 HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FQR THE PQUCY PERIOD <br /> j INDICATED. NOIWITHSTANDING ANY REOUIREMENT,TERM OR CdND TIQN OF ANY CONTRACT OR R DOCUMENT WITH RESPECT 70 WHICH THIS <br /> E CERTtFICATE MAY BE ISSUED OR MAY PERTsitN, THE INSURANGE AF OF2t�E[}BY TNE PqLlClE �SC FfERE1N 13 SUBJEGT T{}A�l.THE FEitMS, <br /> i EXCLUSiONS AtVD CQNDITIOhiB OF SUCH PdIICIES.LEMiTS StiOWN MAY HAVE BEEN REdUCEd BY D CLAfiMS. <br /> �N� TYPE OF INSURANCE i POLICY EFF i PpIICY EXP I UMITS <br /> LTR R NND POLICY NUN R NNtOp MN1DD <br /> B sFNERAi.tlAB�UTY L binder '112014 1 t2015 � <br /> � t � � e,a occtrRRE�ce SS;000.040 <br /> X �COMMERCIAL GENERAL IIABILITY j � � j I �PA'MISE�&occurrencel i 5500,0�0 <br /> . <br /> � �c�ntnsss.nuw� !�occus3 ( � � � � ,naeo ex�tnnx ane Pe�«,� i�s � —_� <br /> I � I � ; � i i`ERSONAL 8 AqV INJURY a 52,000,000 <br /> _........ ..�_..... �i . . — <br /> I i ___ _i_,__� � I I ; i GEN&HAL AGGHEGATE �E2,QUU.QOQ <br /> � �-�--- ! 3 i � , . _ <br /> � GENL AGGREGATB UMIT N'PliE5 PER: ` � � � i ;RRODUCTS-CpMPrOP AGG�SZ,OOO,QOO __f <br /> � POI.ICY PR0. X !LOC ' I I I I s <br /> AUTOMOBILE lWBiIRY I � I j j ,{(Ea accidentj _ ;b <br /> � ANY AUTO � � � � � ��BOOILY INJURY(Per persan) i S �... <br /> ,� tAUTO�EO i�A��ULED � I I I � i �'80RILY INJURY(Per accWarH)�5 <br /> � I ` �NON-OWNED � } ; �PROPERTY DAMAGE <br /> i � NIRED AUTOS �nu�as � f � � j���a�,�� __ �� _�_ <br /> , � I � a <br /> j A f UMBREttA i.lAB �X �4GGUFt � EAL3753088 � 11Z014 �7i12015 't EACH OCCURFiENCE I i9,404.400 <br /> i X EXCESS LIAB ��MS-MADE � i i �AGGREGATE ____ I 59,000,000 _ <br /> DED � �RE7ENTlON t i � I � _. �S - <br /> WORKER8 tOFAPENSA'FtON V 7 N I � , i 1 TORY IMf� 'OTH-I <br /> I AND EMPLOYERS'UABIUTY , �! ����—� <br /> � AMV PROPRIETOfWARTNER/EXECUTNE � � � i ;E.L.EACH ACCIOENT i 3 <br /> � OFFlC£R/MEMBER EXClUOED? �i N�A� � ! , ..._.�._._..__________—_._ <br /> � {Nandatary in tUi} � i E.l.OtSEASE-£A E6APlOYEf�'3 <br /> C �Ifyes desaibe undar � i � <br /> �ESCRIPTION OF OPERATIQNS bebw � i i EL DISEASE-POtJGY UMI7 �5 <br /> � { ' I ' r I <br /> ii i ! t 1 1 <br /> i ( I ' I I I <br /> � 6£SCRIP'f44N Of OPERATtONS t i.00ASIUNB!VEN{C�ES(AttscM ACORB 101,Addtttonst Re srks Schaduie,tt moTe apace is s¢quired} <br /> i *''Addi6onallnsurgd'" <br /> € Stand Location_Store#3761-7422 Gali 8{vd.,ZephyrHitls,F!3354 <br /> Stand C}peratar`s Name:USA Haltoween Planet,Inc. � <br /> i Landowner's Name:Kmart Corporation <br /> Additional Insured:Sears Holding Management Corporation and itsiSubsidiaries and Affiliates are additionally insured with respect to <br /> C�enerat L'sability� 1 <br /> Cross Suits Exc(usion-Insured Vs.Insured <br /> CER7lFICA7E F!Cl�DER CANGELLATtQN <br /> ISHOULD ANY OF THE ABOVE DESCRIBED POlICIES BE CANCELLED BEPORE <br /> � T}fE EXPMRATtOH DATE THEREOF, NOTICE WI�� 8E DEIIYERED 1N <br /> Kmart Cotporation ACCORDANCE WITi!THE POLICY PROYfSiONS. <br /> � Mail Skop A2-3746, 3333 Beverly Road <br /> � Hoffman Estates tL 60179 AUTN4RREU REPRESENTATlVE <br /> � <br /> � ��:,r,��.��t;i�~ . <br /> � a 1988-2d10 ACORD CORPQRATIpN. All rights reserved. <br /> ACORU 25(2010/45) The ACORD name and lo o are registered marks af ACORD <br /> I <br />