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6"1'4 e <br />o'xj Z -''3 <br />DRAWON INSURANCE BROKERS, INC. <br />�2500 CENTER POINT ROAD, SUITE 301 POST OFFICE BOX 94067 <br />HIRIvI1NCHAM, ALABAMA 35215 BIRMINGHAM, ALABAMA <br />35210 <br />'ITLBPHOND (205) 8543806 PAX (205) 8545899 <br />CERTIFICATE OF INSURANCE <br />NO. 410175" <br />We certify that insurancd is afforded assisted below. This Catifieatu does not affirmatively or nagativoly amend, extend or alter the coverage <br />afforded by the insratmer. policy and the Insurance afforded is subject no all the terms, exclusions and conditions of the policy. <br />INSURER <br />Adrniml Insurance Company <br />POLICY NO, CA000002771-28 <br />NAMED INSURED <br />Pyro ,Spemoulurs, Inc. <br />Pyro Spectacuhrrs by Souza <br />Pyro Events, Inc. <br />Pyro spectacular Industries, Inc. <br />Pyro Spectaculars Productions. Inc. <br />Noah American fireworks Co., [Ile. (NAFCO) <br />I °.O. Box 2329 <br />San Diego Fireworks <br />Rialto, California 42377 <br />POLICY TERM <br />January U, 2014 to January 13, 2015; <br />Both Gays 12:01 A.M. Standard Time <br />COVERAGE <br />Conanarcial General Liability: <br />Z Occurrence Basis El Claims Made Basis <br />LIMIT OF LIARIIITY 51,000,000 each occurrence, $2,000,000 general aggregate, ,52,060,000 products /completed operations aggregate <br />The limit of liability shall not ha increase([ by the inclusion or more than one insured or additional insured. <br />INSt1RF.D OPERATIONS Public fireworks display and spacial cffccts contractor <br />It is certined that, If named below, this policy includes as Additional Insureds 1) the sponsor(s), pronnaan(s), organianr(s) (including other <br />oadtics Iraviug shniinr Interests), of insured pyrotechnic events and /or 2) the ownor(s) of real property (or barges) at which insured pyrotechnic <br />events are held and /or 3) the owner(s), mnnager(s), tenant(s), mortgagee(s) (including other entities having similar httcrcsts), orbuildings, stadiums, <br />amnas and shoilar faciilttes at which insured pyrotechnic events are held and /or 4) the licensing or permitting authority, or other authority having <br />jurisdiction, issuing licenses /permits for insured pyroteulntic events and /or 5) any other entity for which the Insurance is retlohed to be afforded <br />un(ler written contract. Coverage applies only as respects the legal liability of such Additional Insurcd(s) for bodily Injury and property damage <br />caused by the operations of the Named Insured. The Insurance afforded any Additional insured does not include coverage far any bodily injury or <br />propcmy damage arising from the failure ot'such Additional Insured to fulfill its obligations specified in Its contract with the Named Insured. <br />NAME ar ADDRESS OF INSURED SPONSORS, <br />PROPERTY OWNERS, LICENSORS City of Santa Ana <br />12 Civic Center Plaza <br />Santa Ana, CA 92703 <br />ADDITIONAL, INSURED(S) City of Santa Ann, and County of Orange, and Orange County Fire Authority, and their <br />officers, agents, employees and volunteers when acting in their official capacity as such. <br />The Coverage afforded the additional insureds as set forth in this certificate shall be primacy and non- contributory with <br />respect to any insurance carried by such additional insureds. <br />DISPLAY LOCATION <br />Centennial Regional Park Soccer Field <br />Santa Ana, CA <br />DISPLAY DATE(S) <br />July 04, 2014 <br />It is certified that this policy requires a 30 day rnuual notice of cancellation between the Insurer and the Named Insured, In the event of such <br />cance[larion we will endeavor to mill 10 days written notice to the Additional Insured(s), whose uauie and address is shown hereon, but failure <br />to avail such mriiee shall impose no obligation or liability of any kind upon the insurer and /or the undersigned. <br />URAYTON INSURANCE BROKERS, INC, <br />DA TI', or ISSUE <br />ZsI V OVVO AS T <� <br />a Ui SrCRCK <br />Assistant City Attornev <br />