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1579* MOA Lake Monroe Harbour 2015 Fireworks!6 TIT City Of Sanford/Lake Monroe Harbour, Inc. Letter Of Agreement Extending Memorandum Of Agreement This Letter Of Agreement Extending Memorandum Of Agreement is entered into this Z-Zft I day of 2015, by and between the CITY OF SANFORD, a Florida municipality (hereinafter referred to as the "City"), whose address is City of Sanford City Hall, 300 North Park Avenue, Sanford, Florida 32771 and LAKE MONROE HARBOUR, INC., a Florida corporation (hereinafter referred to as "Monroe Harbour"), whose address is c/o Charles J. Volk, President, 531 North Palmetto Avenue, Sanford, Florida 32771. The City and Lake Monroe Harbour, Inc. are referred to herein as the "parties" in implementation of the year-to-year agreement of the parties. Whereas, the Fourth of July Fireworks Celebration (hereinafter referred to as the "Celebration") has been historically held yearly on the lakefront of Lake Monroe in Sanford, Florida; and Whereas, the Celebration has included an annual fireworks display; and Whereas, the launch site for the proposed 2015 Fireworks Display is identified in the attached map Exhibit "A"; and Whereas, Exhibit "A" also identifies an area in which preparation, precautions and public safety efforts are necessary pursuant to City, State and Federal regulations for the protection of life and property; and Whereas, Lake Monroe Harbour, Inc., is a tenant operating a Marina dockside, dry storage and boat basin operation within the area described in Exhibit "A"; and Whereas, the City desires to ensure that the premises, property and personnel of the tenant, Lake Monroe Harbour, Inc., are reasonably protected against any and all personal injury and property damage exposure resulting from the Celebration planned to be conducted on the lakefront in Sanford from the launch site identified in Exhibit "A"; and Whereas, the City Staff including the Event Coordinator Supervisor of Special Events, and Manager, City Attorney, Police Sergeant, Fire Department Lieutenant and Risk Management Director have conferred and will, as necessary, confer with the officers, directors, manager and operator of the Lake Monroe Harbour, Inc. in an attempt to identify and consider all of the concerns of the City and the Tenant germane to the Celebration; and Whereas, the parties have concluded after their several discussions to memorializing their several commitments, agreements, covenants and stipulations in the best interests of the parties; and further, for the public good and the protection of life and property in and about the area identified in Exhibit "A" and along the waterfront area of Lake Monroe within the City of Sanford. Now, Therefore, the parties agree and understand as follows with regard to the July 4, 2015 Celebration: 1. The above recitals are true and correct. 2. Lake Monroe Harbour, Inc. agrees as follows: a. To cooperate with the City in consenting to continue the annual planned Fireworks Celebration to be staged, performed and scheduled within the area described in the attached Exhibit "A" for launch of fireworks; and b. To facilitate the relocation and movement of Lake Monroe Harbour, Inc. property located outside the dry storage area to the parking area west of the dry Page 2 of 7 storage facility; and C. To assist with the designation of the security area west of the dry storage facility so as to coordinate twenty-four (24) hour security and surveillance by the City Police Department commencing at 5PM on July 3, 2015 and continuing until 7:00 a.m. on July 5, 2015; and d. To assist with the designation of exposure areas in and about the Exhibit "A" premises for continuous survey, surveillance and extinguishment control activities of the City's Fire Department; and e. To make available to designated representatives of the City's Park's Department, Special Events Supervisor, Fire Department and Police Department keys and authorization to enter upon the floating docks in the eastern basin for purposes of preparation, protection and clean up of said areas prior to, during and following the Fireworks Display event; and f. Tender to the City's Risk Management Director a copy of the current Fire, Windstorm Extended Coverage and General Liability Insurance Policy insuring the properties of Lake Monroe Harbour, Inc. against incidents of damage and calamity to persons and property (a copy of Lake Monroe Harbour, Inc. policy shall be attached hereto as Exhibit "B" for ready reference by the parties). 3. The City agrees as follows: a. To provide Lake Monroe Harbour, Inc. with a current and valid and enforceable Certificate of Coverage from its Liability carrier providing the maximum coverage available to the City giving consideration to the needs of Monroe Harbour (copy Page 3 of 7 of the Certificate of Coverage is attached hereto as Exhibit "C" for ready reference by the parties); and b. To provide Lake Monroe Harbour, Inc. with a current, valid and enforceable Certificate of Issuance from, Zambelli Fireworks Manufacturing, Co. or such other provider of fireworks display services as may be engaged by the City from time-to- time, establishing Limits of Coverage providing for coverage to which the City is entitled and providing that Monroe Harbour shall be declared an additional insured on said policy as respects commercial, general liability insurance pertaining to the operations of Zambelli Fireworks Manufacturing Co., or other provider, at the Celebration within the City of Sanford, Florida; and C. Assist Monroe Harbour in designating the security parameters west of the dry storage facility and coordinate to the satisfaction of the needs of Lake Monroe Harbour, Inc. and its properties twenty-four (24) hour security and surveillance under the direction of the Sanford Police Department commencing at 5PM on July 3, 2015 and continuing until 7:00 a.m. on July 5, 2015; and d. Assist Lake Monroe Harbour, Inc. in designating potential extinguishment control areas for management by the City's Fire Department including, but not limited to, the following: I. dry storage exteriors; and ii. dry storage roof which shall be hosed prior to, during and post event for the protection of the dry storage roof and related facilities; and iii. floating docks zone south of the dry storage facility within the Page 4 of 7 eastern harbor area; and iv. all premises leased to Lake Monroe Harbour, Inc. by the City; and V. all boats, trailers, canopies, vehicles, equipment and personal property in and about the premises of Monroe Harbour shall be protected against exposure to damage by reason of the fireworks used in the Celebration; and vi. perform dud management services as required during and after the Celebration to ensure the safety of persons and property. e. Coordinate and implement clean up to the satisfaction of the parties in areas including, but not limited to, the following: I. dry storage roof and exterior; ii. floating docks and the eastern basin; iii. island area; iv. lake front zone; and V. streets, alleys and travel ways on the island and within to lake front areas. f. Coordinate and implement the restoration of premises and properties to the satisfaction of the parties in areas and zones including, but not limited to, the i. south dry storage exterior; ii. additional dry storage areas as needed and identified; iii. all parking areas on the island; iv. boat ramps; Page 5 of 7 V. floating docks in the eastern and western basins; vi. harbor docks; vii. lake front zones; and viii. such other areas as shall be impacted by the event, if any. h. Establish and maintain constant communication between and to the satisfaction of the parties so as to implement control and fulfill their respective responsibilities to each other as described herein; and i. The City shall have full authority and opportunity to abort the event for the protection of life, property and the safety, health and welfare of Monroe Harbour and the citizens of the City of Sanford. 4. Attached hereto for ready reference by the parties, are the below listed maps, photos, policies and renderings, to wit: Exhibit "A" - Launch Zone Identification Photo Exhibit "B" - Lake Monroe Harbour, Inc. Coverage and General Liability Insurance Policy Exhibit "C" - Zambelli Fireworks Manufacturing, Co. Certificate of Insurance Exhibit "D" - Lake Monroe Harbour, Inc. Certificate of Coverage issued by the City Exhibit "E" - Marina Isle Lease /Easement Map Page 6 of 7 5. All other terms and conditions of the underlying agreement between the parties are hereby ratified and affirmed. Attest: Barbara Arthur Secretary A� �st: Cynthia Porter, City Clerk For use and reliance of the Sanford City Commission only. A d as to form andr ality. William L. Colbert City Attorney Lake Monroe Harbour, Inc. (Y� c 0, l) Ag", Charles J. VoV President City Of Sanfo Jeff Triplett, Mayor Page 7 of 7 Q�J,EP~ CERTIFICATE F LIABILITY I DATE (MMIDDNYYYj 07130f14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER 407- 898-1776 NAME: Chas St John, AIAM, AAf, CIC __ _ p No Ex :407 - $98-1776 AIC No : 407 - 895 -0918 Hugh Cotton insurance 407- 8950918 2315 Curry Ford Road Orlando, FL 32806 EMAIL ADDRESS' cstjohn@hughcotton.com INSURER(S) AFFORDING COVERAGE NAIG q Tom Sutton INSURER A : Travelers _ 40282 2,000,00 .v.__.. $ k 1 000,00 $ INSURED lake Monroe Harbour, Inc. INSURER B: _.. _ - _. ___.. -„ -- --- -.-_._ Barbara Arthur 531 North Palmetto Avenue Sanford, FL 32771 INSURER C: r 3,000,00 m 3 +000,00 — INSURER D_ TO,ntr C;T TU- r� Ii ?9 ` DED X RETENTIGN$ 25,0001 WORKERS COMPENSATION INSURER E: - INSURER F j AND EMPLOYERS LIABILITY ANY PRCPRIEiOR PARTNERZXECUIIVE YIN I OFFICERIMEMEER EXCLUDED I N I A j (MandakoryinNH) I - Mr IT ^A-re KII IRA mcm REVISION NUMBER: 4VV=MAUC.7 vcr,rrr,�—Ic wmvv,.. -- ---._. _. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i`SSR A 1! TYPE OF INSURANCE S GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY X CLAItv9g.h1A6E OCCUR i POLICY NUMBER MMIDDNYYY MMIDDIYYYY I 07125114 07/25715 I i LIMBS ACH OCCURRENCE $ 1,000,00 to 'bra r Crty Inc tED EXF� (E oc u s n ] Per on) 100,00 ___._ __ —_. _ -. s. �,�� PERSONAL & ACV NJURY ! 1 1,000,00 A I ; 07/25114 07/25115 FERAL AGGREGATE 2,000,000 PtOF nr[ )... I COMBINED INS LE LiN T i Ea aLcwonti BODILY Ird uFti tP €rPOrson SONLriN UPY (P 1 c�F'Ek Tr OAMAt7.y 2,000,00 .v.__.. $ k 1 000,00 $ EN1 AGGREGATE LIMIT APPLIES PER ' —�PRO' I POLICY ! 1 T Ll LOC AUTOMOBILE LIABILITY ANY AUTO, ALL OWNED ECHEDiaLCC AUTOS AILITOS NON.OVWNG:) HIRED AUTOS ALMC,$ A UMBRELLA LIAR X QCGL'R X EXCESS LiAB CLAIMS-MADE I 07!25114 i 07/25115 EACH 0CC_1,.IRRENCE — R CC, ATE r 3,000,00 m 3 +000,00 TO,ntr C;T TU- r� Ii ?9 DED X RETENTIGN$ 25,0001 WORKERS COMPENSATION L EACH ACCIDENT IDE NT _ EL FJS =A_L. EAEMPL_+ EE'I - j AND EMPLOYERS LIABILITY ANY PRCPRIEiOR PARTNERZXECUIIVE YIN I OFFICERIMEMEER EXCLUDED I N I A j (MandakoryinNH) I I if yes, describe under DESCRIPTION OF OPERATIONS balow E L DISEASE - POLICY! IIA1 ! E j I DESCRIPTION OF OPERATIONS i LOCATIONS I VEFICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) CITYSAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Sanford ACCORDANCE WITH THE POLICY PROVISIONS. P 0 Box 1788 Sanford, Fl 32772 AUTHORIZED REPRESENTATIVE ,:. anon nnan Ar+n ®n rn0cfnPATinN All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD A1CC/t � INSURANCE D /DD/YYYY) 5 /19 /15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Allied Specialty Insurance, Inc 10451 Gulf Boulevard Treasure Island, FL 33706 -4814 1- 800 - 237 -3355 CONTACT PHONE FAX A/C No): IL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: T.H.E. Insurance Company 12866 INSURED Zambelli Fireworks Mfg Co Inc etal 20 South Mercer Street New Castle, PA 16101 INSURER B: INSURER C: 02/01/2015 INSURERD: EACH OCCURRENCE INSURER E DAMAGE TO RENTED PREMISES Ea occurrence INSURER F: MED EXP (Any one person) COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR JADDL TYPE OF INSURANCE I INS& SUBR WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CPP0103167 -02 02/01/2015 02/01/2016 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP (Any one person) _ _ $ CLAIMS -MADE I-R] OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2500 ,000 JECT POLICY K PRO LOC $ • AUTOMOBILE LIABILITY CPP0103167 -02 210112015 02101/2016 Ea accidentSiNGLE LIMIT $ is BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS IAUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED PROPERTY DAMAGE Per accident $ $ • UMBRELLALIAB EXCESS LIAR x OCCUR CLAIMS -MADE ELP0011081 -02 02/01/2015 02/01/2016 EACH OCCURRENCE $95000,000 AGGREGATE $9,000,000 DED I I RETENTION$ $ • WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F—] (Mandatory In NH) If yes, describe under NIA WCP0005125 -003 2/01/2015 02/01/2016 Tt WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1 + 5 DESCRIPTION OF OPERATIONS below Workers Compensation Cover ige is afford ?d in the State(s) of: AZ, CO, CT, DE, FL, GA, IL, IN, KY, LA, MD, MI, MN, MO, NC, NE, h J, NM, NV, I, Y, OR, PA, 1C, SD, TN, TX, UT, VA 85 WI. DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Display Date: July 4, 2015 Rain Date: Location: Lake Monroe Harbour Marina RE: General Liability, the following are named as additional insured in respects to the operations of the named insured only City of Sanford, Waste Pro, Inc, CPH Engineers, Monroe Harbour Marina, Inc, OSIA - Orlando Sanford International Airport, GAI Consultants Inc, Solo Media Inc, Central Florida All Star Football Inc, Wayne Densch, Inc., Wondermade - ATIMA 511280 City of Sanford PO Box 1788 Sanford, FL 32772 CERT# 15215 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PRESENTAT ©1988-2010 ACOO CORPORATION. All rights reserved. At;UKU ZO (ZU'IU /UO) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: ' ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED Allied Specialty Insurance, Inc. Zambelli Fireworks Mfg Co Inc POLICY NUMBER CPP0103167 -02 and ELP0011081 -02 CARRIER T.H.E. Insurance Company, Inc. NAIC CODE 12866 EFFECTIVE DATE: 02/01/15 through 02/01/16 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: Attached to and made part of Certificate of Insurance issued on the date of: INSURED: Zambelli Fireworks Mfg Co Inc POLICY NO: CPP0103167 -02 and ELP0011081 -02 DISPLAY LOC: DISPLAY DATE: RAIN DATE: RE: GENERAL LIABILITY, THE FOLLOWING ARE NAMED AS ADDITIONAL INSURED IN RESPECTS TO THE.OPERATION OF THE NAMED INSURED ONLY: ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r��tll YJ CERTIFICATE OF COVERAGE Certificate Holder LK MONROE HARBOUR MARINA, INC 531 N. PALMETTO AVE SANFORD, FL 32771 Administrator Issue Date 06/23/2015 Florida League of Cities, Inc. Department of Insurance and Financial Services P.O. Box 530065 Orlando, Florida 32853 -0065 COVERAGES TERM OR CONDITION ION OF ANYECONTRACT OR OTHER DOCUMENT WITH RESPECT 0 WHICH DTHIS CERTIFFIICATE MAOY BE ISSUED OR MAY PERTAIN, TOHE COVERAGE AFFORDED BY THE TERM OR CO DITTO OF HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGREEMENT. COVERAGE PROVIDED BY: AGREEMENT NUMBER: FMIT 0529 TYPE OF COVERAGE - LIABILITY FLORIDA MUNICIPAL INSURANCE TRUST COVERAGE PERIOD: FROM 10/1/14 �TYPE �ERAGE PERIOD: TO 10/1/1512:01 AM STANDARD TIME AGE - PR OPERTY General Liability ® Comprehensive General Liability, Bodily Injury, Property Damage and Personal Injury ® Errors and Omissions Liability ® Supplemental Employment Practice ® Employee Benefits Program Administration Liability ® Medical Attendants' /Medical Directors' Malpractice Liability ® Broad Form Property Damage ® Law Enforcement Liability ® Underground, Explosion & Collapse Hazard Limits of Liability * Combined Single Limit Deductible Stoploss $25,000 Automobile Liability ® All owned Autos (Private Passenger) ® All owned Autos (Other than Private Passenger) ® Hired Autos ® Non -Owned Autos ® Buildings ❑ Basic Form ® Special Form ® Personal Property ❑ Basic Form ® Special Form ® Agreed Amount ® Deductible $25,000 ❑ Coinsurance N/A ® Blanket ❑ Specific ® Replacement Cost ❑ Actual Cash Value ® Miscellaneous ® Inland Marine ® Electronic Data Processing ® Bond El Limits of Liability on File with Administrator TYPE OF COVERAGE - WORKERS' COMPENSATION ® Statutory Workers' Compensation ® Employers Liability $1,000,000 By Disease $1,000,000 Aggregate By Disease Limits of Liability ❑ Deductible N/A * Combined Single Limit ® Self Insured Retention $200,000 Deductible Stoploss $25,000 Automobile /Equipment — Deductible ® Physical Damage Per Schedule - Comprehensive - Auto Per Schedule - Collision - Auto Per Schedule - Miscellaneous Equipment Other The limit of liability is $200,000 Bodily injury and /or Property Damage per person or $300,000 Bodily Injury and /or Property Damage per occurrence. These specific limits resulting from entry of a claims b10 p Orsuant o Section) 68 28 (5) Florida Statutes or� abibliilty /settlement for bwhich no laims)bilhas been nfiled or ely for any liability re 9 liability imposed pursuant to Federal Law or actions outside the State of Florida. Description of Operations /Locations/Vehicles /Special Items Re: Insurance verification for July 0 Festival & Fireworks. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER Tu _ COVERAGE AFFORDED BY THE AGREEMENT ABOVE. DESIGNATED MEMBER CITY OF SANFORD PO BOX 1788 SANFORD FL 32772 1788 CANCELLATIONS SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 45 DAYS WRITTEN NOTICE SHALL CIMPO E NO OBLIGATION OR LIABILITY ABOVE, IABILITY OF ANY KIND UPON THE PROGRAM.ITS AGENTS OR REPRESENTATIVES. EXHIBIT "Ell 0 -4 uo In MEMORIAL PARK > -_4 T mm 0 0 CK) IT, W W C-) m _0 ;;m'. 0 co cn mo !_1 To CA 0 Z x m 0 0 0 0 ;o w m m ;o oll 00 o ol m a) 0 m > a to 'm So ';u 2 2 2 2 2 m m -, ;mo m;o m m z A z 0 C.) ow -,), 10 m m m m rtl m c c 90 rn m m - -4 000 5051 1 90 'U 'D -4 r- z z PUBLIC INGRESS EGRESS EASEMENT z z ------------- If — ------------ 0 0 -4 mxa z cm, 1:0 0 1 r- I -mn 20 4Q, 0) ly i. Y c: zm IT, M m 0 mu) Z U) ct F) m ................ ........... — — — — — — — — -- ne.:'=c I it AF o n� z CITY OF SANFORD DEPARTMENT OF PLANNING MARINA ISLE AMD DEVELOPMENT SERVICES 300 N.PAAK AVE14UE LEASE I EASEMENT MAP SANFORD, FL. 32771 AGENCY CUSTOMER ID: LOC #: rN ADDITIONAL i ti Page of AGENCY NAMED INSURED Allied Specialty Insurance, Inc. Zambelli Fireworks Mfg Co Inc POLICY NUMBER CPP0103167 -02 and ELP0011081 -02 CARRIER T.H.E. Insurance Company, Inc. NAIC CODE 12866 EFFECTIVE DATE: 02/01/15 through 02/01/16 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: Attached to and made part of Certificate of Insurance issued on the date of- INSURED: Zambelli Fireworks Mfg Co Inc POLICY NO: CPP0103167 -02 and ELP0011081 -02 DISPLAY LOC: DISPLAY DATE: RAIN DATE: RE: GENERAL LIABILITY, THE FOLLOWING ARE NAMED AS ADDITIONAL INSURED IN RESPECTS TO THE OPERATION OF THE NAMED INSURED ONLY: ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD