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CERTIFICATE OF INSURANCE <br />This certificate is'Issued as a matter of information only and confers no rights upon the certificate holder. <br />This certificate does not amend, extend or alter the coverage afforded by the poliey(ies) listed below. The <br />Insurer accepts no responsibility for any additions or changes made hereon that are not on record with <br />the Insurer. <br />Name. and Address of Insured: <br />SOUTIIERN INTERNATIONAL FIREWORKS, INC. <br />AND BALLOON TECHNIQUES <br />P.O. Box 8340 <br />Atlanta, GA 30306 <br />tnts is to cenity trtat the poticy(ies) of insurance listed below have been issued to the insured named <br />above and are in force at this time. <br />TYPE OF INSURANCE: GENERAL LIABILITY INCLUDING <br />and operations/locations PRODUCTS AND COMPLETED OPERATIONS <br />covered thereunder LIABILITY INSURANCE PER POLICY FORM <br />CMGL -1 (CLAIMS MADE) <br />NAME OF INSURER: EVANSTON INSURANCE COMPANY <br />POLICY NUMBER: MC 11497 <br />POL,ICYPER100. March 21, 1990 to March 21, 1991 <br />LIMIT$ OF LIABILITY ANO DEDUCTIBLE: COMBINED SINGLE LIMIT Bodily Injury and <br />Property pamage Liability <br />$1,000,000 each occurrence <br />$1,000,000 - annual aggregate <br />$ '25,000 Deductible each occurrence <br />Should the described policy(ies) be cancelled before its (their) expiration date, the undersigned will en. <br />deavor to give 20L days written notice to the certificate holder or 1Q__ days written notice in the event <br />the cancellation(s) is. (are) due to non - payment of premium andror deductible or retention. Failure to dive <br />such notice shall Impose no ooligation or liability of any kind upon the undersigned or upon the Insurer. <br />Name and Address of Certificate Holder: <br />Town of Ca=b=6 <br />P.O. Box 337 <br />Carrboxo, LvC. 27510 <br />Attn: Richard yj=ev <br />Display .Date: July j, <br />Co.. T- ct.s=ed: 1. Town. <br />Date 6-U-9- <br />C14 tn7-in I /A," <br />1990 or Alternate Date <br />of Caxxboro <br />Shand. Marahai) b Company. Inr._ <br />Shand Morahan Plea <br />Evan5t411 11111101S O0201 <br />W_ <br />