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] <br /> <br /> ALLIED BPECIALTY TNBLIRANCE, ]:NC, <br /> 110451 GULF BOUI_EVARD <br /> TREASURE ISLANB, F'L.. <br />'i'otL Free 1..-~i~00-237-3355 MarlO'hal <br /> :[-~00-282-.~776 F L o ;i,-~i da <br /> <br />CERTIFICATE OF INSURANCE <br /> FT i:;:EWORK,S DI SF'LA Y <br /> <br />ICY NUMBE~ ~ <br /> <br />NAME & AD]DRE~S OF INSURED: ADDITIONAL INSUREDI <br />S Vitaie Pyrotechnic l~')d, i~c, <br /> <br />P.O, Box t49 <br />New Cast let F'A 16103 <br /> <br /> ~I Me ~....C Q~E~80~ E~E~....~Q~E~80E ............................... <br /> <br /> .......... ]L.~l]~¢ .................~ ........ ~L~l]~ ............................................... <br /> <br />LIABILITY L]:MIT; .. <br />Bodlty InjuKy and <br />Property Damage; ___~l,.~g..O~L~,c~C~t..._~ .... <br /> <br />CLass B Products <br />pOLICY PERIOD; <br /> Fr om: <br /> Tot <br /> <br />· I n c lud <br /> <br />........ ~: x [:.'~-; ~ ~'~" ........ [-: xc ess <br />...... ..I~. i~ gQ Q~ QQ O~ ~1,....~ .......... ~ ....... <br />........ · ~ la ~.l ~ ~'.1 ...................... ~ ............. <br /> <br /> 3/2~/~S O100/OO <br /> 3/2~)/~4 O/OO/OO <br /> <br /> w - COMBINED SINGLE LIMIT <br /> <br /> In the event of arly material ch..%ng~ in~ or cancellation of said policy(ies), <br /> the company will endeavor ~o give written notice to the pa,"¢y whom this cet-- <br /> tificate is issued, but fail~n-e ¢o give such notice shall impose no liability <br /> or obtlgation ~pon the company. <br /> <br /> NAME & ADDRESS OF CERTIFICATE HOLDER; DATE OF DISPLAY{ ~UlX..2~_1993 <br /> Carolina Mall RAIN DATE: <br /> DISPLAY AMOUNT %10,000.00 <br /> 1480 US Highway 29 North LOC~TION OF DISPLAY{ <br /> Concord, NC 28205 Carolina Mall, Concord, <br /> <br /> [east 24 hours ir, advance of the d~sp[~y da~e. <br />~.This certificate neither aff irmmtiv~[y nor negatively amends~ ex~ends <br /> the covet-age afforded by '[he poi icy(iez;) described hereon, MOTEt In the event <br /> ~hat' rain or inc[em(~nt ~e.m~her prohibits this display, coverage ui lL apply <br /> on a sub~e%uent date on ~hich the di~pLaYl, i~ held, uit~,in the term~ of the <br /> policy contrac't, Cl.a. anup a~x:l policing of he display are t;h.:.~, ra, sponssibi[ity <br /> of the sponsors. <br /> The fo. ilo~ing are additional insuredm; any fair or exposition, associati'on, <br /> spO~SOI'IT~g organiza'tion or committee~ the owner or lesse~, of any premises use~ <br /> by ~he Named Insured~or any public authot"i~'y granting a per'mit ~o the Named <br /> <br /> Insured's <br /> in <br /> 1'1%e <br /> of their emp.[oyment, Atso, as ¢:,ddi'tionaL Named Inmured~ any I'ndep~ndent Con- <br /> tractor who fires the display on behalf of the Named Insured, Thi= insurance <br /> does not apply ¢o any faiture 'to police or c'.[eanup 'the dJspI, ay, or Liability <br /> arising there from, <br /> <br /> This certificate is not valid unless an original signature_appears below. <br /> (Copies Not Valid,) <br /> <br /> Coverage under the pi~lic'/ i~ co'F~di'ti~h~d LipO?i full compl, ia'nce by all iflsureds <br /> with all applicable National Fire Protection Association (NFF'A) codes and <br /> standards in effect a't the time of the displa~ <br />... ,.,._, <br />........ ~E~. z~._[ 2.~. _,~ z2 ~ ............................. ~ .... <br />Date of Certificate Issuance Au'lhor i~ Signature <br /> <br /> <br />