Orange County NC Website
05. 16/131 14: 01 TOWN OF CHAPEL HILL + h;. C. <br />:,� &an*on COMPWW <br />ONE AMERICAN PLAZA <br />EVANSTON, ILLINOIS com <br />DECLARATIONS — GENEW LIABILITY <br />2 <br />J <br />n <br />NO. 717 POO", ID02 <br />i' ** 3032 <br />INCLUDING PRODUCTSS /� <br />NAMED INSURED SOUTtif;RN' INTERNATIONAL FIREWORKS, INC. i* salon <br />EHUS04SS ADDRESS OF THL IN$VRO Post Of f ice Box One <br />Woodacock, GA 3018$ <br />PO%, 'C'r PT RIOU Fro•, _ torch i1 1 <br />.. . ._,2.y 3,-- ,�......�.__— ____�. --- To . Mar h 2 <br />`1 G+ A N S!aPea+ 0 "in* p! 01 InSU ea NSh1G gbovSI <br />c.OVEAAGt Ar.0 GEKERA1 LIABILITY INCLUDING PR0D1JCTS/COfVL1TED OMATICHA <br />LIM"tSOF LIABII�J7 COWNID SINGLE LIMITS: Bodily Injury Rod Property 94"o Liability <br />$1 00 each occurrdrlce, $.1,000,20L a at <br />DEDUCTIBLE: AppliGCrL1 to each occurrence includin8 cl, lm `xp@m*s <br />OPERATIONS AND PREMISE COVERED: Class D Fireworks a <br />Ird I Hslloori RoUI1_48-2--531d <br />and distributed by the Insured including displays and 400tinB operation. <br />RETROACTIVE DATE; March 21e 1988 ., <br />PREMIUM FOR EXTENrED DISCOVERY PERIOD: U0 of preaiumIas provided in <br />('AVERAGE 4 of the polidy to be paid only if the Inaured,meet■ the eiigi,h ity <br />requirements and exercise* the option. <br />RATE: AdJUSL iblo at per $11000 of Sales <br />F"EmIVMPOOKXICT0".. ",00 (Annual Minimum) <br />State Tax 4% R pus t) uni $ <br />+ cip&I Tax Z <br />*oRIO NumaEAS AND IWXM MEI�S "OWING A PAPT 00 THIS K&ICY AT THE TOdE a/ $ <br />1. Clain Expenbes Endor"11L <br />2. Pollution Exclusion <br />(OCL,I ) <br />Ic i etc osly <br />M <br />ALL CLARA• TO Ne 011P "G ONCTLY 70 <br />Woo <br />r <br />Ona Aaa�lasn 1a«ta. <br />