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.t 5 <br /> CERTIFICATE OF INSURANCE ISSUE DATE 5/20/2015 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br /> NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AMEND, <br /> PROFESSIONAL PROGRAM INSURANCE BROKERAGE EXTEND OR LATER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 371 BEL MARIN KEYS BLVD.,SUITE 220 INSURER(S)AFFORDING COVERAGE <br /> NOVATO CA,94949-5662 <br /> INSURER A: <br /> LLOYD'S OF LONDON <br /> INSURED INSURER B: <br /> Wolverine Fireworks Display,Inc. INSURER C: <br /> 205 W.Seidlers Road <br /> Kawkawlin,MI 48631 INSURER D: <br /> COVERAGES <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED INSURED ABOVE <br /> FOR THE PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER <br /> DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY <br /> THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br /> CO POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR TYPE OF INSURANCE I POLICY NUMBER DATE(MMiDDIYY) DATE(MMIDDIYY) LIMITS <br /> GENERAL LIABILITY EACH ACCIDENT $ 5,000,000 <br /> CLAIMS MADE MEDICAL EXP(Any one <br /> • A PY/15-0010 02/01/2015 02/01/2016 person). S. <br /> FIRE LEGAL LIABILITY $ 50,000 <br /> GEN'L AGGREGATE LIMIT GENERAL AGGREGATE $ 5,000,000 <br /> APPLIES PER POLICY <br /> PRODUCTS-COMP/OPS AGG $ <br /> COMBINED SINGLE LIMIT I <br /> AUTOMOBILE LIABILITY (Ea accident) $ <br /> ANY AUTO BODILY INJURY <br /> ANY OWNED AUTOS (Per person) $ <br /> SCHEDULED AUTOS BODILY INJURY <br /> I HIRED AUTOS (Per accident) -- $ <br /> I NON-OWNED AUTOS PROPERTY DAMAGE <br /> (Per accident) $ <br /> EXCESS LIABILITY <br /> FOLLOWING FORM EACH ACCIDENT $ <br /> AGGREGATE $ <br /> WC STATU- OTH- <br /> WORKERS COMPENSATION TORY LIMITS. ER $ <br /> AND E.L.EACH ACCIDENT $ <br /> EMPLOYERS'LIABILITY E.L.DISEASE-EA EMPLOYEE 1 $ <br /> E.L DISEASE-POLICY LIMIT $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> City of Everett;Everett Aqua Sox Baseball Club;Everett School District#2;7th Inning Stretch,LLC its agents,employees,and officers,ATIMA are Additional <br /> Insured as respects the 06/19/2015,06/26/2015,07/04/2015,07/17/2015,07/24/2015,07/25/2015,08;07/2015 and 08/28/2015 Aerial Fire;vcrks Displays <br /> located at Everett Memorial Stadium,Everett,WA. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> City of Everett DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT <br /> 2390 lA/etmore Ave FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY <br /> KIND UPON THE INSURER,ITS AGENTS SENTATIVES. <br /> Everett,WA 96201 <br /> AUTHORI Er REPRESENTATIVE <br /> 113 <br />