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ACOR1 CERTIFICATE OF LIABILITY INSURANCE DATE 1MM OD YYYY)
<br />�/ 3/52025
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder In lieu of such endorsement(s).
<br />PRODUCER
<br />9X "'
<br />Acrisure Great Lakes Partners Insurance Services
<br />PHONE -
<br />(ALc,Na_Ean:_Z76-658-77D0_
<br />FAX --
<br />(Are, Nab; 216.658-71D1
<br />223 West Grand River Ave #1
<br />_
<br />_
<br />Howell MI 48843
<br />AAIL
<br />DDRESS:
<br />INSURER(SIAFFOROING COVERAGE
<br />NAIC0 _
<br />INSURER A: Everest Denali Insurance Company__
<br />16044
<br />INSURED
<br />INSURER B: Continental Indemni Com any
<br />28258
<br />Pyro Spectaculars Inc.
<br />—__P—-
<br />__
<br />_- -" _--'
<br />Pyro Events Inc.; Pyro Spectaculars Productions Inc.
<br />msuRsrle: Admiral Insurance Company
<br />, _ 24856
<br />San Diego Fireworks
<br />INSURERD: Arch Specialty Insurance Company
<br />- _ - 211_99
<br />P. O. Box 2329
<br />INSURER E:
<br />Rialto CA92377
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 1220450821
<br />REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR _-- - --ADDLSUBR----------- PODGY EFF POL1dYE%P - ----- -_-
<br />LTR TYPE OF INSURANCE N p POLICY NUMBER MMIDOIYYYY MMIDDIYV LIMITS
<br />C ° GENERAL UABIDTY CACOW55935-01 0112MS V112UaI EACH OCCURRENCE S 1.000,ODD
<br />- -.
<br />DAkWbt TO RENTED
<br />X COMMERCIAL GENERAL LIABILITY PREMISRS LEaaeanrence). S`WOODS
<br />CLAIMS -MADE X OCCUR MED E%P one person) S
<br />PERSONAL& ADV INJURY $1,000,000
<br />GENERAL AGGREGATE 5ZODD.000
<br />GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG 52.000,000
<br />PRO- _....— -_ _.
<br />POLICY X -LOG S
<br />A AUTOMOBILE LIABILITY SIUCM0031-241 1/14/2024 4,,g2WS COMBINED SINGLE LIMIT
<br />_(EA a�dderd__..-.— .—;j.oSDocU -
<br />)5 ANY AUTO BODILY INJURY (Per person) $
<br />ALL OWNED SCHEDULED
<br />- BODILY INJURY(Per a -
<br />ccidanpS
<br />AUTOS AUTOS
<br />X HIRED AUTOS X NON -OWNED PROPERTY DAMAGE AUTOS _Fer�icnif_ ; S
<br />D UMBRELLA UAB X OCCUR U%P005]594-10 2tl/2025 2112026 EACH OCCURRENCE 54. DDOADD
<br />X EXCESS LIAR CLAIMS -MADE AGGREGATE S4,000,000
<br />DED RETENTIONS S
<br />g WORKERS COMPENSATION 37-525906-01-04 MASTER 10112G24 10n2025 X WE STATU- OTH-
<br />AND EMPLOYERSLIABILITY YIN TORY LIMITS _ _ ER...
<br />ANY PROPRIETORIPARTNEMEXECUTIVE NIA EL EACH ACCIDENT : $1_000.000
<br />OFFICERIMEMBER EXCLUDED?17 - -
<br />--
<br />(ManEalorylnNH) EL DISEASE - EA EMPLOYEE S1,000:000
<br />Iryes de6rrlbeunder
<br />DESCRIPTION OF OPERATIONS below EL DIS EASE -POLICY LIMIT 91.mO,000
<br />DESCRIPTION OF OPERATIONS I LOCATION$ I VEHICLES (ANach ACORD 101, Additlorul Rennarl s Schedule, -d morespace Is reRoiNuU
<br />Certificate Holder Is named as an Additional Insured in regards to Auto Liability. Stales Covered under workers compensation policy; CA,MO,MT,NY,OR
<br />Display Date: July 4, 2025
<br />Display Location: Centennial Park, Santa Ana, CA
<br />Additional Insured(s): City of Santa Ana, its City Council, Centennial Regional Park, County of Orange, Orange County Fire Authority and their officers, officials,
<br />agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or memorandum of understand.
<br />Such insurance as in afforded by this policy shall be primary, and any insurance Carried by the City shall be excess and noncontributory.
<br />Tu Tran Diguauyngnedby
<br />Tu Tran Nguyen
<br />Nguyen 6: a'oana' APPROVED
<br />By Tu Tran Nguyen at 4:37 pm, Mar 05,
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Parks, Recreation and Community Services
<br />20 Civic Center Plaza, M-23 AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92701 9*;�--..
<br />©1988-2010 ACORD CORPORATION. All rights reserve
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />
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