:~ <', -,:' ALLIED SPECIALTY INSURANCE,
<br /> · :~;;. -': -'"-'-,Treasure I~Land~ FL :33706
<br /> Toil Free 1-800-237-3355 Nat
<br /> 1-800-282-677~ Flor ida
<br />
<br />Cart if ic:a'te ~'~u...,~,~ ,. 000'81
<br />
<br />CERTIFICATE OF INSURANCE
<br /> F IR~-WOR~o I. IoFl_~T
<br />
<br /> NAME & ADDRESS OF INSURED ADDITIONAL INSURED
<br /> . Vi ta[e Pyrotechnic :[r,d Inc. Atlantic American Property, Inc.
<br /> P,O, Bo x 147 Kimball Memorial Lutheran Church
<br /> N~w Castle, PA 1~1~3 First Presbyterian Church
<br />
<br /> ~ I~ 8~ L. ~ ~ ~8 ~ E~ ~E ~ _~ ~ ~ 8~ ~ ..........................................
<br />
<br /> LZ RBIL ITY L:MZT: -
<br />
<br /> Aggregate:
<br /> Excess of Excess 0f
<br />
<br /> Class B Products $Inc[uded .... ~ ......... ~
<br /> POLICY PERIOD;
<br /> From: 5/2~/~4 5/2'F/g4 0/00/00
<br />
<br /> ~ - C..F,~..I~r.I.I SIHt=I.~ LIMIT
<br />
<br />,-r o,..liga~on upo~ the Company,
<br />NAME & ADDRESS OF CERTIFICATE HOLDER: DATE OF DISPLAY:
<br />
<br /> DISPLAY AMOUNT; $8,000.00
<br /> Cao~oa Villa~a LOCATION OF DISPLAY~
<br /> B.O. Box 28
<br /> [aaa~olis, ~C ~S082 Caaaoa Village, [a~oa~oiis, ~o=~b Ca=oiiaa
<br />
<br />Lea-'+=, 24 hours i~ advance of th~_ dispL~v, da~-~,. ._
<br />This ceFfit'icafe neither 8ffJt-ma~[veLy noF negatively air~ends-~ extends or
<br />~he coverage afforded by fha poLicy(iai,) described hereon, NO]E: In the event
<br />that F8J'A or imcLeme~t WeS'~%~!F pYohJbJts 'this dispLmy~ covermge wilL apply
<br />on ~ subse~lUeOt date-On which the dJslpLay ~$ heLd~ withjr, She ~erms of the
<br />
<br />· spo n=jor i n~ orga~i zati o~ or coma ~t~ee, the o~,mer or Lessm~ o'r any pFem Jse.s
<br />by t,he Named Ir, sured~ or a~y public au~ho¥'ity grant i~g a pe,~-,r, it 't'o ~he Named
<br />l~s[~¥'ed , but onLy as respec!'s accicleni`s arisi ng outer ne(:]l ig::~nc~ of the
<br />Name.'.~ I'nsurc-d or 1'he Named IrJSU',-ed*s empto'¢ee~ actinq i7', the ,:.::,urse and
<br />of ~.~,~,i r 6.,mpLoyment, Alsor a=, add;+i,~h~' Nam,~d Inguinal: any T~;deF.=f,,,8,,~ Con-
<br /> ('ra,_~o',- wh~ f ires the dJsp[,?,',- or, ,.¢,.¢,,¢~ ~ r,f the ..... ,
<br />
<br /> Th is certificate is ~ot valid u~Less an originaL signature appears beLow,
<br /> (Copies No~ VaLid)
<br />
<br /> Co '.':?,'a S~ under the policy is ,::ond[tior, ed uo')n full compl, iam':e by al! insureds
<br /> W; ....~, a [ [ ¢-: ppLic8b[¢~,.,~"'ti(:,~;~L F;'Fe [""cO'(ect~oyj ;.~s~ucia~io;~ ...... (NF'F'A) codes and
<br /> s'~r~d.sl-ds r~ effect at the t~me of the ,ii`splay,
<br />
<br /> 1.. ~ .... ~... ~ .2~ - ~ & ~.. ,...X ............................
<br />
<br />A AIIII:B ~;PI:CI~ITY IM~III~aMCI:. INC'
<br />
<br />
<br />
|