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I <br />/o M811116 DATE IMMI001YY1 <br />.k1;Melp. lwi= I FiCATE OF I 4/28/192 <br />PRCTDUC /B <br />T14IS CeRTIPaGATC!IS IOJUISO AO A NAT" 00 IIWAR�TION ONLY AND CONFER <br />THE CERTIFIGATIV <br />aLICli9 9ELOVYOj AMC <br />WILLIS cater !coR�ATIGN <br />t1c I ENO OR ALTER T! COVERAGE ��E:>� by tll�i <br />OF NEW YORK <br />AFFORCRNO COYSPAa! <br />7 HMO= 59JMZ <br />COMPANIES <br />NW YORK, NW x 1000Q�2594 <br />COMPANY <br />A <br />LETTER United capita <br />COMPANY B <br />_ <br />LETTER <br />INURED <br />Southern Intecr$ation4l Fireworks, Inc. <br />LYC <br />eVen <br />LETTER <br />P.O. Box One <br />Woodstock, GA 30188 <br />COMPANY <br />LETTFp 1) <br />COMPANY a <br />LETTER <br />COVERAGES <br />THIS IS TO UE -RTIFY THAT HE P0L141kS VF INSUHANLt LI7il eU IJCLtiW RAVE 6ENY ISSUED TO THE TIS INSURED 0 NAMED ABOVE FOR THE POLICY PEF11 IS <br />AFFORDED BY THE POLLIC E6 DESCRIBED HEuREIN i$ SUe,EC TO ALL HE TEAMS <br />tNDjC rlFA1 ��I) MAY PERTAIN. THE IN <br />h nnAlVltl6$$ rail <br />AND CONDITIONS OF SUCH POLICIES LIMITS b"OWN <br />MAY HAVt BEEN REDUCED BY PAID CLAIMS. <br />F1(CLuSIONS <br />POLICY aFFa c wf POLICY a11PIRAYIHR ALL 61MITI RI.I� <br />CO POLICY NUIIfiR <br />cc TYPE OF INSURANCE <br />DATE (MM/ODIYV) DAY1(MMIDOIYY) <br />OEN64A4 AddAaGATC a 3 000 <br />tllNERAL LIABILITY <br />PIy000CTS-OOM *ION AS011afATC ! 3000 <br />00 <br />X :OMMERCIAL GENERAL LIABILITY p <br />A, X 0=11A GiAAi0000737 <br />3 /21/92 3/21/93 PIP40NAL a AOvWISIND INJURY ! N/A <br />III AIM:T MAUI` <br />•F4" aaCuRRENcL ` 3, 000 <br />UWNCII III a UWN11M.;1u11 i5 I'1 +CJI <br />FaRf pAMAOf I41W OIIB Nlaa f N/A <br />MEDICAL FXPENN IA" rwn. 06W^I <br />ED <br />MLi <br />AUTOMOIILa LIABILITY <br />91 E <br />LI T <br />_ <br />ANY AIITO <br />saw Y <br />ALL VVVNLN AU 104 <br />IN&PIT I <br />" F040A1 <br />001f.UU60 AVTOO <br />OOCILY <br />ionm AuTOA <br />INJURY • <br />CPO admMlh) <br />NIJN•uWN611 AUIUJ <br />PP1I{{ppPP��R { <br />GAnAGC LIAOILITY <br />piAWlrf <br />MAC" AGOREOATE <br />OO6URRfNGf <br />PXC.FSa 1 IABII ITV <br />fit Iirll IIIAN "mill" I I A I Iia1M <br />STArU?M <br />WORKER'S COMPENSATION <br />i IE'AON ACCIDENT) <br />S IDIwMEE —POLICY LIM <br />AND <br />` <br />ID198ASE -9AC" EMPC <br />EMPLOYER!' LIABILITY <br />OTHKA <br />L <br />1 oF111GA PT1oN or OPUMATIONSrLOOATaONaYaNI=SISPCC AL ITU" <br />.f <br />Event, Date (s) - ,n1i,Y 4TH, 1993 OR ALTEMATr. DATE <br />Rain Date <br />Coverage applies to Inautance for dates i rid icated ..T— .04LAITtitigalte.. -- - ---�' <br />CANC <br />CERTIRICATE M06DCR ELLATION <br />�!'iY Ur' CHAPEL HILL SHOULD ANY QP THE ASOT/E DESCRIBED POLICIES DE CANCELLED 9EFORr- <br />300 NORTH COLUMBIA STRLn- EXPINBION OATS TMiREOF, THE IaIsulNO COMrANY WILL ENDEAVaR <br />CHAPEL HILL, NC 37516 MAIL �sUU DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO <br />ATTN: GVEG FELLER Lkl^ 1. !3U 1 FAILURE TO MAIL SUCH NOItIGE SHALL IMPOSE NO ODUGATION <br />TY <br />LIAR LI OF ANY KIND UPON TM COMPANY. ITS AgENTS OR REPRESENTATIN <br />CnINUURkl): _ _._.. ..... <br />... - <br />1. (AP <br />'HEL IIILL, NC -..T" roxEC Rf ATlvf <br />2. CA"KIO U, NC 11 <br />3. upAmut COUNTY (�G�. <br />a. L-NTVFRSITY OF 40r4'Id CAROLINA AGOR0 CORPORATION <br />11 .0 MCI% - <br />