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I <br /> CERTIFICATE OF INSURANCE <br /> N° 0515 <br /> <br /> This is tq cerRfy that policies in the name of: <br /> <br /> F -9 F <br /> Named ZAMBELLI FIREWORKS MFG; CO., INC. Additional <br /> Insured AND SPONSORS, PROPERTY OWNERS <br /> Insured <br /> end OR MUNICIPALITIES AND ADDITIONAL <br /> Address INSUREDS <br /> L P.O. Box 801, New Castle, Pa. 16103 / L <br /> <br /> are in force at the date hereof, as follows: <br /> <br />Kind of Insurance Policy Numbers Policy Period Limits <br />FIREWORKS DISPLAY 83A1554 Eft:January 1, 1984 $1,000,000. <br />LIABILITY INSURANCE Exp: January 1, 1987 <br />Company: <br />Balboa <br />Insurance Company <br />EXCESS FIREWORKS DISPLAY 6184-1312 Elf; January 1, 1984 $5,000,000. <br />LIABILITY INSURANCE Exp: January 1, 1987 Excess of <br />Company: $1,000,000. <br />Granite State <br />Insurance Company <br />EXCESS FIREWORKS DISPLAY <br />LIABILITY INSURANCE UF-1385 PA Elf: January I, t984 $4,0001000. <br />Company: Exp: January 1, 1987 Excess of <br />Safety Mutual Underlying <br />Casualty Corp. $6,00B,(]00. <br /> <br /> In the event of any material change in, or cancellation of, said policies, the undersi9ned company will endeavor to give written notice to the party to whom this <br /> certificate is issued, but failure to give such notice shall impose no obligation nor liability upon the company. <br /> <br /> CERTIFICATE ISSUED TO: DATE OF DISPLAY ,TT1n¢, ?'4: 1 qRA <br /> NAME Cabarrus Parkd & Recreation <br /> AND City of Concord RAIN DATE <br /> ADDDESS Concord, NC <br /> DISPLAY AMOUNT <br /> <br /> Stough Road Concord, NC <br /> AUTHORIZED SIGNATURE <br /> <br /> This certificate of insurance neither affirmatively nor negatively amends, extends or a~ters the coverage afforded by any policy described herein. <br /> <br /> NOTE: In event rain or inclement weather prohibit this display, coverage will apply on subsequent date on which display is held, within the terms of this <br /> contract· Cleanup and policing of the display are the responsibiiity of the Sponsors. <br /> The following are additional insureds: Any Fair or exPosition, association, sponsoring organization or committee, the owner or lessee ol~ any premises used <br /> by the named assured, or any public authority granting a permh tO the named assured, but only'as respects accidents arising out of the business operations of <br /> the primary assured. Also, as additional named insured any independent contractor who fires the display on behalf of the assured. <br /> <br /> <br />